Andrew Carlson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61668 Issued in OR

Practice address

2191 NW 2ND St BLDG 4
McMinnville, OR 97128-9106

Phone

(503) 434-9594

Fax

(503) 434-6808

NPI assigned

May 26, 2016

Last updated

Aug 7, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1184786527
  Medicare reassignment NPD
• Therapeutic Associates Inc

  dba TAI Mt. Ashland Physical Therapy

  • Physical Therapist
  • Ashland, OR
  • NPI 1972589364
  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Northwest

  • General Practice Physician
  • Portland, OR
  • NPI 1306192455
  NPD
• Kaiser Foundation Health Plan of the Northwest

  • Clinic/Center
  • Hillsboro, OR
  • NPI 1942718622
  NPD
• Therapeutic Associates Inc

  dba TAI - Happy Valley

  • Physical Therapist
  • Happy Valley, OR
  • NPI 1053831347
  NPD
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1730537119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 NW 2ND ST BLDG 4",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289106",
            "telephone_number": "503-434-9594",
            "fax_number": "503-434-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 NW 2ND ST BLDG 4",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971289106",
            "telephone_number": "503-434-9594",
            "fax_number": "503-434-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500715224",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Cardinal
• Care Center McMinnville Inc (Prestige Post-Acute and Rehabilitation - Oakwood)
• Janelle Carey, CCC-SLP
• Peter F. Carey, PH.D.
• Ricardo Carlon, M.D.
• Tara Carlson, RN
• Taylor Carlstrom, MSW
• Mary Margrett Carpio
• Jose Eduardo Carrillo, M.A., QMHP
• Kelly William Carsh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.