Active NPI
Robert William Fleming, MPT
- Physical Therapist
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05080
- Practice address
- 3786 SW Hall Blvd
Beaverton, OR 97005-2050 - Phone
- (503) 626-6587
- Fax
- (971) 231-2097
- NPI assigned
- Nov 23, 2005
- Last updated
- Mar 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05080 | OR | Primary |
| Physical Therapist | 225100000X | 5080 | OR |
Addresses
Primary practice location
3786 SW Hall Blvd
Beaverton, OR 97005-2050
Mailing address
3786 SW Hall Blvd
Beaverton, OR 97005-2050
Phone (503) 626-6587
Other practice location 1
10250 SW Greenburg Rd Ste 115
Tigard, OR 97223-5461
Phone (503) 719-6783
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3786 SW Hall Blvd
Beaverton, OR 97005-2050
Phone (503) 816-6977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05080 | OR | MD | Physical Therapist |
| 5080 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopstown Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Oregon Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Fleming Physical Therapy Services, LLC | Current | Accepting new patients | |
| Integrated Joint Specialists LLC | Past | Accepting new patients |
Locations
3786 SW Hall Blvd
Beaverton, OR 97005
Phone (503) 626-6587
9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Beaverton, OR
- NPI 1447841697
Physical Therapist
-
- Physical Therapist
- Hillsboro, OR
- NPI 1891397121
-
- Physical Therapy Clinic/Center
- Hillsboro, OR
- NPI 1972076511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1649253592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3786 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052050",
"telephone_number": "503-626-6587",
"fax_number": "971-231-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3786 SW HALL BLVD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052050",
"telephone_number": "503-626-6587",
"fax_number": "971-231-2097"
}
],
"practiceLocations": [
{
"address_1": "10250 SW Greenburg Rd Ste 115",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972235461",
"country_code": "US",
"telephone_number": "503-719-6783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "ROBERT",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "05080",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5080",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.