Individual provider Active NPI

Brenda Tellez-Rojas, PT

  • Physical Therapist
  • Wilsonville, OR
National Provider Identifier
1932932464
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65462 Issued in OR
Practice address
29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone
(503) 582-8033
Fax
(503) 855-3191
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 65462 OR Primary

Addresses

Primary practice location

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309

Mailing address

29174 SW Town Center Loop W Ste 202
Wilsonville, OR 97070-9309
Phone (503) 582-8033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001871 OR Practitioner - Physical Therapist in Private Practice 4789103789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Custom Care Physical Therapy, LLCGroup PAC ID 0941365514, 5 clinicians

Practice addresses (Care Compare)

3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone (503) 357-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boones Landing Physical Therapy LLC Physical Therapist CurrentSince Mar 14, 2025 Accepting new patients
Custom Care Physical Therapy, LLC. CurrentSince Jan 5, 2026 Accepting new patients

Locations

3838 Pacific Ave
Forest Grove, OR 97116
Phone (503) 357-1706

29174 SW Town Center Loop W
Wilsonville, OR 97070

29174 SW Town Center Loop W
Ste 202
Wilsonville, OR 97070
Phone (503) 582-8033

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1932932464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29174 SW TOWN CENTER LOOP W STE 202",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709309",
            "telephone_number": "503-582-8033",
            "fax_number": "503-855-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ-ROJAS",
        "first_name": "BRENDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.