Individual provider Active NPI

Andrea Elizabeth Hughbanks, DPT, MSPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1992796031
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4239 Issued in OR
Practice address
2455 NW Marshall St Ste 8a
Portland, OR 97210-2949
Phone
(503) 224-1947
Fax
(503) 274-9530
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4239 OR Primary
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

2455 NW Marshall St Ste 8a
Portland, OR 97210-2949

Mailing address

2455 NW Marshall St Ste 8a
Portland, OR 97210-2949
Phone (503) 224-1947

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616000184 OR Practitioner - Physical Therapist in Private Practice 3375587363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2455 NW Marshall St
Suite 8a
Portland, OR 97210-2949
Phone (503) 224-1947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4239ORMDPhysical Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1992796031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST STE 8A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "503-224-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 NW MARSHALL ST STE 8A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102949",
            "telephone_number": "503-224-1947",
            "fax_number": "503-274-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHBANKS",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DPT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4239",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 29, 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.