Individual provider Active NPI

Brenda Jean Lamb, PT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1609801695
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4698 Issued in OR
Practice address
9828 E Burnside St
Suite 250
Portland, OR 97216-2354
Phone
(503) 254-3424
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4698 OR Primary
Physical Therapist 225100000X PT00007844 WA

Addresses

Primary practice location

9828 E Burnside St
Suite 250
Portland, OR 97216-2354

Mailing address

9828 E Burnside St
Suite 250
Portland, OR 97216-2354
Phone (503) 254-3424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225001387 OR Practitioner - Physical Therapist in Private Practice 2062642770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Lake Physical Therapy and Rehab LPGroup PAC ID 4082853825, 39 clinicians

Practice addresses (Care Compare)

15755 SW Sequoia Pkwy
Suite 101
Tigard, OR 97224-7166
Phone (503) 639-8284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4698ORMDPhysical Therapist
PT00007844WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
Laurelhurst Physical Therapy Clinic Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Dec 1, 2017 Accepting new patients
North Lake Physical Therapy and Rehab LP Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

101 S State St
Ste 4200
Lake Oswego, OR 97034
Phone (503) 636-3025

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

9828 E Burnside St
Ste 250
Portland, OR 97216
Phone (503) 254-3424

4606 SE Boardman Ave
Portland, OR 97267
Phone (503) 353-9776

6250 Commercial St SE
Salem, OR 97306
Phone (503) 485-1666

15755 SW Sequoia Pkwy
Ste 101
Tigard, OR 97224
Phone (503) 639-8284

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1609801695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST",
            "address_2": "SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162354",
            "telephone_number": "503-254-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 E BURNSIDE ST",
            "address_2": "SUITE 250",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162354",
            "telephone_number": "503-254-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4698",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.