Active NPI
Nicole Brun-Cottan, DPT
- Neurology Physical Therapist
- Vancouver, WA
National Provider Identifier
1649789637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 62479
- Practice address
- 210 W 4TH St
Vancouver, WA 98660-3493 - Phone
- (360) 258-1637
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 62479 | OR | Primary |
Addresses
Primary practice location
210 W 4TH St
Vancouver, WA 98660-3493
Mailing address
4223 SE 67TH Ave
Portland, OR 97206-3519
Phone (707) 889-1471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62479 | OR | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1649789637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 SE 67TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972063519",
"telephone_number": "707-889-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W 4TH ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603493",
"telephone_number": "360-258-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUN-COTTAN",
"first_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "OR",
"license": "62479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.