Brandon Paul Mascarenas, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

60059 Issued in OR

Practice address

270 NW Burnside Rd
Gresham, OR 97030

Phone

(503) 215-9146

Fax

(503) 215-9149

NPI assigned

Nov 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1699052571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 E 14TH AVE",
            "address_2": "APT.#6",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802062538",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 NW BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-215-9146",
            "fax_number": "503-215-9149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 E 1st Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800202401",
            "country_code": "US",
            "telephone_number": "303-460-0329",
            "fax_number": "303-460-0387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCARENAS",
        "first_name": "BRANDON",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "11345",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "60059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noemi Martinez-Gonzalez
• Ashley Michelle Martinez
• Mariana Elena Martinez
• Rebecca Martinez, ARNP
• Stephanie Marie Martinez, CADC-II/PSS
• Julia W Mason, MD
• Marie H Mason, DC
• Massage for Healing and Wellness
• Karissa Rose Mathews, CRM
• Paula Matosin

• Orthopedic Physical Therapist in Gresham, OR
• Providers in Gresham, 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 Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.