Individual provider Active NPI

Renee L. James, MPT

  • Orthopedic Physical Therapist
  • Wilsonville, OR
National Provider Identifier
1679522940
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
04811 Issued in OR
Practice address
29174 SW Town Center Loop W Ste 202B
Wilsonville, OR 97070
Phone
(503) 707-5996
NPI assigned
May 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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 1889 NV
Orthopedic Physical Therapist 2251X0800X 04811 OR Primary

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 202B
Wilsonville, OR 97070

Mailing address

29871 SW Camelot St
Wilsonville, OR 97070-7565
Phone (503) 707-5996

Other identifiers 1

IdentifierTypeStateIssuer
241742MedicaidOR

Other names 1

  • Renee L. Brandt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090312000621 OR Practitioner - Physical Therapist in Private Practice 6002848579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boones Landing Physical Therapy LLCGroup PAC ID 7810248069, 3 clinicians

Practice addresses (Care Compare)

29174 SW Town Ctr Loop W
Suite 202
Wilsonville, OR 97070-9309
Phone (503) 582-8033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04811ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 4, 2023 Accepting new patients
Boones Landing Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2018 Accepting new patients
Jane K. O'Brien, Inc. Physical Therapist Past Accepting new patients

Locations

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

29174 SW Town Center Loop W
Ste 202B
Wilsonville, OR 97070
Phone (503) 582-8033

29174 SW Town Center Loop W
Ste 202
Wilsonville, OR 97070
Phone (503) 582-8033

Organizations & group practices 3

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530057600000",
    "number": "1679522940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29871 SW CAMELOT ST",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707565",
            "telephone_number": "503-707-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "503-707-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "RENEE",
        "middle_name": "L.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2018-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1889",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "04811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241742",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BRANDT",
            "middle_name": "L.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.