Active NPI
Renee L. James, MPT
- Orthopedic Physical Therapist
- Wilsonville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 04811
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241742 | Medicaid | OR |
Other names 1
- Renee L. Brandt
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04811 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Boones Landing Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Wilsonville, OR
- NPI 1922503044
Physical Therapist
-
- Physical Therapist
- Hillsboro, OR
- NPI 1891397121
-
- Physical Therapist
- Incline Village, NV
- NPI 1922016419
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.