Active NPI
Stacey J Brown, P.T.
- Physical Therapist
- Tualatin, OR
National Provider Identifier
1730128281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0971
- Practice address
- 19875 SW 65TH Ave
Tualatin, OR 97062-8353 - Phone
- (503) 692-2657
- NPI assigned
- Jun 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0971 | OR | Primary |
Addresses
Primary practice location
19875 SW 65TH Ave
Tualatin, OR 97062-8353
Mailing address
1250 NW 97TH Ave
Portland, OR 97229-5208
Phone (503) 297-8725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049838 | Other | OR | OMAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730128281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 NW 97TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295208",
"telephone_number": "503-297-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19875 SW 65TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628353",
"telephone_number": "503-692-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "STACEY",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "049838",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.