Amy Lynn Briley, PT/DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64028 Issued in OR

Practice address

64745 Melinda CT
Bend, OR 97701-8828

Phone

(541) 241-2104

Fax

(971) 242-4088

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Destination RehabGroup PAC ID 7113357435, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Destination Rehab

  • Physical Therapist
  • Bend, OR
  • NPI 1891230942
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1871168708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8316",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977088316",
            "telephone_number": "541-241-2104",
            "fax_number": "971-242-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64745 MELINDA CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018828",
            "telephone_number": "541-241-2104",
            "fax_number": "971-242-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "PT/DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Mind LLC
• Bright Sky Integrative Recovery
• Bright Sky Integrative Recovery
• Christina Margaret Bright, MD
• Brighter Days Counseling Services, LLC
• Joseph James Brill IV, PA-C
• Nickolas Raul Brilmyer, DC
• Timothy Brines
• Haley Brink, LMFT
• Jessy Lee Brinlee, LMT

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.