Active NPI
Brandon D. Tilton, PT
- Physical Therapist
- Medford, OR
National Provider Identifier
1841359205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3997
- Practice address
- 36 Hawthorne St
Medford, OR 97504-7114 - Phone
- (541) 776-2333
- Fax
- (541) 776-2495
- NPI assigned
- Dec 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3997 | OR | Primary |
Addresses
Primary practice location
36 Hawthorne St
Medford, OR 97504-7114
Mailing address
36 Hawthorne St
Medford, OR 97504-7114
Phone (541) 776-2333
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3997 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Physical Therapy LLP | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Medford, OR
- NPI 1013112903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1841359205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HAWTHORNE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047114",
"telephone_number": "541-776-2333",
"fax_number": "541-776-2495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HAWTHORNE ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047114",
"telephone_number": "541-776-2333",
"fax_number": "541-776-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "BRANDON",
"middle_name": "D.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.