Nathan Glenndale Phelps, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5069 Issued in OR

Practice address

700 Deborah Rd Ste 190
Newberg, OR 97132-3075

Phone

(503) 537-7070

Fax

(503) 395-1911

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advanced Orthopedic Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Newberg, OR
  • NPI 1861737769
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1992890446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DEBORAH RD STE 190",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323075",
            "telephone_number": "503-537-7070",
            "fax_number": "503-395-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 DEBORAH RD STE 190",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323075",
            "telephone_number": "503-537-7070",
            "fax_number": "503-395-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "NATHAN",
        "middle_name": "GLENNDALE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@advancedorthopt.com",
            "affiliation": "N",
            "endpointDescription": "company inquiry email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company inquiry email",
            "address_1": "700 Deborah Rd Ste 190",
            "city": "Newberg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971323075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Jane Peterson
• Janet Peterson, DRPH, RDN, FACSM
• Kylee Marie Peterson, MAQMHP
• Mary Peterson, PH.D.
• Nadege Petrie
• Jamie Phillips
• Jimmie Phillips Jr.
• Darby Philpot
• Denise Kay Pia, P.T.
• Meghan Pierce, M.S., CCC-SLP

• Physical Therapist in Newberg, OR
• Providers in Newberg, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.