Active NPI
Anne E. Obrien, P.T.
- Physical Therapist
- Grants Pass, OR
National Provider Identifier
1992705909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1485
- Practice address
- 497 Ramsey Ave
Grants Pass, OR 97527-5681 - Phone
- (541) 476-1919
- Fax
- (541) 476-1920
- NPI assigned
- Aug 1, 2005
- 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 | 1485 | OR | Primary |
Addresses
Primary practice location
497 Ramsey Ave
Grants Pass, OR 97527-5681
Mailing address
625 Ramsey Ave
Suite B
Grants Pass, OR 97527-5808
Phone (541) 476-1919
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043542 | Medicaid | OR | |
| J284207 | Other | OR | PACIFIC SOURCE INSURANCE |
| P00043501 | Other | OR | MEDICARE RAILROAD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1992705909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 RAMSEY AVE",
"address_2": "SUITE B",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275808",
"telephone_number": "541-476-1919",
"fax_number": "541-476-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 RAMSEY AVE",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275681",
"telephone_number": "541-476-1919",
"fax_number": "541-476-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "ANNE",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-01",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "1485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043542",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE INSURANCE",
"identifier": "J284207",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00043501",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.