Brian Ta, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

63951 Issued in OR

Practice address

1215 SE 8TH Ave Ste D
Portland, OR 97214-3497

Phone

(503) 248-0360

Fax

(503) 200-1148

NPI assigned

Oct 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sportscare Physical Therapy @ Cornell, LLCGroup PAC ID 7517115579, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian@pt-360.com

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.

• Sportscare Physical Therapy @ Cornell, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1649534793
  Medicare reassignment Care Compare group NPD
• 360 Degree Sports Medicine & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Portland, OR
  • NPI 1528268588
  Medicare reassignment NPD
• Oregon Luna Care Physical Therapy LLC

  • Physical Therapist
  • Hillsboro, OR
  • NPI 1891397121

  Orthopedic

  Medicare reassignment NPD
• Gresham Sportscare

  • Physical Therapy Clinic/Center
  • Gresham, OR
  • NPI 1487789657
  NPD
• Sportscare Physical Therapy @ Cornell, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
  • NPI 1255190153
  NPD

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1689390973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-248-0360",
            "fax_number": "503-200-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SE 8TH AVE STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143497",
            "telephone_number": "503-248-0360",
            "fax_number": "503-200-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TA",
        "first_name": "BRIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "63951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DRIVERS LICENSE",
            "identifier": "C392786",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian@PT-360.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1215 SE 8th Ave Ste D",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972143497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Szymkowiak, PHARMD, RPH
• Brett Szymoniak
• T & K Incorporated
• Thanh Ta Hoang
• David Tri Ta Kim, MD
• Karen Ta, M.D.
• The Ta
• Anne Joyce Tabachnick
• Yedidya Tabanpour, ACUPUNCTURIST
• John Philip Tabb

• Orthopedic Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.