Brandon Shink, P.T. , D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65514 Issued in OR

Practice address

6542 SE Lake Rd
Milwaukie, OR 97222-2244

Phone

(503) 427-0118

NPI assigned

Aug 2, 2016

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AK, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21331/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Eagle River, AK
  • NPI 1699743484

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Matt a. Heilala, DPM Inc.

  dba Alaska Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Anchorage, AK
  • NPI 1316046790
  Medicare reassignment NPD
• Physiotherapy Associates Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Happy Valley, OR
  • NPI 1083339618
  NPD
• Physiotherapy Associates, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Tigard, OR
  • NPI 1184362337
  NPD
• Select Oregon Physical Therapy P C

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Happy Valley, OR
  • NPI 1801778618
  NPD
• Matt a. Heilala, DPM Inc.

  dba Alaska Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Wasilla, AK
  • NPI 1922566652
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Sterling, AK
  • NPI 1548890569
  NPD
• Alaska Radiology Associates Inc

  • Body Imaging Physician
  • Anchorage, AK
  • NPI 1003803214
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1710430228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W EVERGREEN AVE",
            "address_2": "SUITE 101",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222244",
            "telephone_number": "503-427-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Evergreen Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996456970",
            "country_code": "US",
            "telephone_number": "907-745-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINK",
        "first_name": "BRANDON",
        "credential": "P.T. , D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65514",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "112017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherril Fey Shelton, PHYSICAL THERAPIST
• Amy Shepherd
• Molly Shepherd
• Rachelle Kirsten Sherard, LPN
• Clare Lynn Shields, OCCUPATIONAL THERAPI
• Kathryn Shires, LMT
• Shivaprakash Shivanna
• Evin Elise Shordon, LMT #29799
• Nathan Shrefler
• Mikaela Shrumm

• Physical Therapist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.