Darla Kim Phillips, PT, DPT, OCS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6145 Issued in OR

Practice address

1500 SW 1St Ave Ste 150
Portland, OR 97201-5900

Phone

(503) 222-1955

Fax

(503) 222-1485

NPI assigned

Jul 31, 2007

Last updated

Dec 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bridgetown Physical Therapy and Training Studio PCGroup PAC ID 2264514652, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgetown Physical Therapy and Training Studio, PC

  • Physical Therapist
  • Portland, OR
  • NPI 1194907873
  Medicare reassignment Care Compare group NPD
• Pacific Sports Health Management, Inc.

  dba Synergy Performance Health

  • Physical Therapist
  • Burbank, CA
  • NPI 1093755894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1588854020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015900",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 1ST AVE STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015900",
            "telephone_number": "503-222-1955",
            "fax_number": "503-222-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 SW Broadway",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972013413",
            "country_code": "US",
            "telephone_number": "503-222-1955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DARLA",
        "middle_name": "KIM",
        "credential": "PT, DPT, OCS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33847",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Rae Phillips, LCSW
• Charles Robert Phillips, MD
• Christopher A. Phillips
• Colleen Alyce Phillips, RN
• Colleen D Phillips, PA-C
• Grace Phillips
• Holly Nicole Phillips
• Jacinda Lee Phillips
• Jack Austin Phillips
• Jason Lee Phillips, R.T. (R) (ARRT)

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.