John Steven Barresse Jr., MS ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

ATAT1005896 Issued in OR

Practice address

160 NW 2ND Ave
Canby, OR 97013-3729

Phone

(503) 263-6786

Fax

(503) 263-6451

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By 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 names 1

• Mr. John Barresse Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Canby Physical Therapy and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Canby, OR
  • NPI 1992766612
  NPD (past)
• Patrick J Gregg MD PC

  • Ophthalmology Physician
  • Canby, OR
  • NPI 1326348566
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811036916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 SE TOLBERT ST",
            "address_2": "UNIT 1",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159654",
            "telephone_number": "503-969-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133729",
            "telephone_number": "503-263-6786",
            "fax_number": "503-263-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRESSE",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "ATAT1005896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "BARRESSE",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "JOHN BARRESSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Lynn Araujo, CNA
• Ashley K McFerron OD PC
• Assisted Living Concepts Inc (Rackleff House)
• Deborah Lou Babbitt, LCSW
• Emilia Barnum, PHARMD.
• Anne Marie Barry-Lever, NP
• Lacie Baumer, LPC
• BD-Canby, LLC (Redwood Dental)
• Christopher Alan Beardall, D.C., L.AC.
• Beckley Family Dental Group, PC

• Athletic Trainer in Canby, OR
• Providers in Canby, OR by specialty
• Athletic Trainer in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.