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
Last updated
Jun 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2015

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 60248 OR Primary

Addresses

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

Medicare participation

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

Enrollment records 1

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

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.Group PAC ID 7113080714, 10 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60248ORMDPhysical Therapist

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "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": [],
    "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.