Active NPI
Brian Keith Chambers, MPT
- Physical Therapist
- Pendleton, OR
National Provider Identifier
1720071897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3672
- Practice address
- 1100 Southgate
#1
Pendleton, OR 97801-3974 - Phone
- (541) 276-4011
- Fax
- (541) 278-2327
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3672 | OR | Primary |
Addresses
Primary practice location
1100 Southgate
#1
Pendleton, OR 97801-3974
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (801) 294-6907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227840 | Medicaid | OR |
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Southgate
Suite 15
Pendleton, OR 97801-3971
Phone (541) 276-4011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3672 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Oregon Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Rocky Mountain Therapy Services Texas LLC | Physical Therapist | Past | Accepting new patients |
Locations
1100 Southgate
Ste 1
Pendleton, OR 97801
Phone (541) 276-4011
1100 Southgate
Ste 15
Pendleton, OR 97801
Phone (541) 276-4011
Organizations & group practices 2
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 Therapist
- Pendleton, OR
- NPI 1013933985
-
- Physical Therapist
- Odessa, TX
- NPI 1417240771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1720071897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110307",
"telephone_number": "801-294-6907",
"fax_number": "801-294-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SOUTHGATE",
"address_2": "#1",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978013974",
"telephone_number": "541-276-4011",
"fax_number": "541-278-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "BRIAN",
"middle_name": "KEITH",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227840",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.