Active NPI
Andrew Fifield, DPT
- Physical Therapist
- Oregon City, OR
National Provider Identifier
1750432902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4775
- Practice address
- 610 High Street
Oregon City, OR 97045 - Phone
- (503) 657-8903
- Fax
- (503) 650-4302
- NPI assigned
- Jan 15, 2007
- Last updated
- May 13, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 4775 | OR | |
| Physical Therapist | 225100000X | 4775 | OR | Primary |
Addresses
Primary practice location
610 High Street
Oregon City, OR 97045
Mailing address
PO Box 1126
Oregon City, OR 97045
Phone (503) 657-8903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241288 | Medicaid | OR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4775 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurotherapeutics Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Oregon City, OR
- NPI 1154475762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273708800000",
"number": "1750432902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1126",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 HIGH STREET",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "97045",
"telephone_number": "503-657-8903",
"fax_number": "503-650-4302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIFIELD",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2010-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "4775",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241288",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.