Active NPI
Patrick Bridge, P.T.
- Physical Therapist
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6848
- Practice address
- 3100 Haworth Ave
Suite 270
Newberg, OR 97132-2093 - Phone
- (503) 538-4805
- Fax
- (503) 538-4878
- NPI assigned
- Jul 12, 2012
- Last updated
- May 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6848 | OR | Primary |
Addresses
Primary practice location
3100 Haworth Ave
Suite 270
Newberg, OR 97132-2093
Mailing address
16083 SW Upper Boones Ferry Rd
Ste. 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01286216 | Other | OR | RR MEDICARE |
| 500647048 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20055 SW Pacific Hwy
Suite 110
Sherwood, OR 97140-9294
Phone (503) 625-1691
29100 SW Town Ctr Loop W
Suite 190
Wilsonville, OR 97070-9317
Phone (503) 570-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6848 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Grapevine Womens Health and Gynecology, LLC | Past | Accepting new patients |
Locations
16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500
5880 NE Cornell Rd
Ste C
Hillsboro, OR 97124
Phone (503) 844-9294
3100 E Haworth Ave
Ste 270
Newberg, OR 97132
Phone (503) 330-5788
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600
Interoperability endpoints
- https://api.platform.athenahealth.com/1487/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/7230/brand/1/csg/1/fhir/r4
- patrick.bridge.1@31414.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba TAI Mt. Ashland Physical Therapy
- Physical Therapist
- Ashland, OR
- NPI 1972589364
-
dba TAI - South Hillsboro
- Physical Therapist
- Hillsboro, OR
- NPI 1083121644
-
- Gynecology Physician
- Hillsboro, OR
- NPI 1780021899
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1609131895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD",
"address_2": "STE. 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 HAWORTH AVE",
"address_2": "SUITE 270",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971322093",
"telephone_number": "503-538-4805",
"fax_number": "503-538-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGE",
"first_name": "PATRICK",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01286216",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500647048",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.