Terry Lee Petty, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

272832 Issued in OR

Practice address

16248 NE Glisan St
Portland, OR 97230-5833

Phone

(503) 546-7543

Fax

(503) 255-7924

NPI assigned

Apr 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Joseph a. Graffeo, D.C., P.C.

  • Chiropractor
  • Portland, OR
  • NPI 1811061617
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1871615377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 NW ASH CREEK LN",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295283",
            "telephone_number": "503-297-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16248 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972305833",
            "telephone_number": "503-546-7543",
            "fax_number": "503-255-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Janet Pettit
• Nicholas A Pettit, DO
• Jennifer Nicole Petty
• Michelle Elizabeth Petty
• Randi Michelle Petty, RDH
• Pettygrove Dental LLC
• Pettygrove Physical Therpay Associates LLC
• Ethan David Pettyjohn, LPC
• Karen E Petzing, D.C.
• Lara Michelle Pevzner, M.A., LPC

• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.