Individual provider Active NPI

Patricia Maren Brattain, D.P.T.

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1801163688
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06700 Issued in OR
Practice address
2401 River Rd Ste 102
Eugene, OR 97404-5412
Phone
(541) 683-6187
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 06700 OR Primary

Addresses

Primary practice location

2401 River Rd Ste 102
Eugene, OR 97404-5412

Mailing address

2401 River Rd Ste 102
Eugene, OR 97404-5412
Phone (541) 683-6187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120112000775 OR Practitioner - Physical Therapist in Private Practice 2961679097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axis Physical Therapy and Rehab IncGroup PAC ID 6507886371, 5 clinicians

Practice addresses (Care Compare)

4660 Main St
Suite 600 1
Springfield, OR 97478-4021
Phone (541) 683-6187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axis Physical Therapy & Rehab Inc Physical Therapist CurrentSince Dec 1, 2011 Accepting new patients

Locations

2401 River Rd
Ste 102
Eugene, OR 97404
Phone (541) 431-0631

4660 Main St
Ste 600-1
Springfield, OR 97478
Phone (541) 683-5187

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1801163688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD STE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045412",
            "telephone_number": "541-683-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RIVER RD STE 102",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974045412",
            "telephone_number": "541-683-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTAIN",
        "first_name": "PATRICIA",
        "middle_name": "MAREN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.