Individual provider Active NPI

Patrick Webinger, DPT

  • Physical Therapist
  • Happy Valley, OR
National Provider Identifier
1851725865
Registry record updated Jun 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60248 Issued in OR
Practice address
16126 SE Happy Valley Town Center Dr
Suite 200
Happy Valley, OR 97086-4256
Phone
(503) 427-0118
Fax
(503) 427-0279
NPI assigned
Aug 27, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Edge Physical Therapy and Sports Medicine P.C. 10 clinicians

Practice addresses (Care Compare)

2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone (503) 387-5449

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20131016001327 OR Practitioner - Physical Therapist in Private Practice 5597999060 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Valley Therapy, Inc Physical Therapist CurrentSince Nov 16, 2023 Accepting new patients
Active Edge Physical Therapy & Sports Medicine P.C. CurrentSince Apr 1, 2025 Accepting new patients

Locations

2519 Cove Ave
La Grande, OR 97850
Phone (541) 962-0830

2020 8th Ave
Ste D
West Linn, OR 97068
Phone (503) 387-5449

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60248 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

16126 SE Happy Valley Town Center Dr
Suite 200
Happy Valley, OR 97086-4256

Mailing address

16126 SE Happy Valley Town Center Dr
Suite 200
Happy Valley, OR 97086-4256
Phone (503) 427-0118

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
500663726MedicaidOR

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2015.

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434153600000",
    "number": "1851725865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16126 SE HAPPY VALLEY TOWN CENTER DR",
            "address_2": "SUITE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864256",
            "telephone_number": "503-427-0118",
            "fax_number": "503-427-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16126 SE HAPPY VALLEY TOWN CENTER DR",
            "address_2": "SUITE 200",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864256",
            "telephone_number": "503-427-0118",
            "fax_number": "503-427-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBINGER",
        "first_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-27",
        "last_updated": "2015-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500663726",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2015; 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.