Active NPI
Drew Busch, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1902568488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 64273
- Practice address
- 12518 NE Airport Way Ste 110
Portland, OR 97230-1090 - Phone
- (503) 256-2992
- NPI assigned
- Oct 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 64273 | OR | Primary |
Addresses
Primary practice location
12518 NE Airport Way Ste 110
Portland, OR 97230-1090
Mailing address
1400 Aldrich CT
Faribault, MN 55021-7044
Phone (507) 210-2374
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64273 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Centers of the Southwest I, P.a., P.C. (Or) | 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 Therapy Clinic/Center
- Addison, TX
- NPI 1437290608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1902568488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ALDRICH CT",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550217044",
"telephone_number": "507-210-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12518 NE AIRPORT WAY STE 110",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301090",
"telephone_number": "503-256-2992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSCH",
"first_name": "DREW",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.