Active NPI
Brenda Tellez-Rojas, PT
- Physical Therapist
- Wilsonville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65462
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boones Landing Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Custom Care Physical Therapy, LLC. | Current | 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.
-
- Physical Therapy Clinic/Center
- Forest Grove, OR
- NPI 1508005026
-
- Physical Therapy Clinic/Center
- Wilsonville, OR
- NPI 1922503044
Physical Therapist
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.