Individual provider Active NPI

Brady K Whetten, PT, DPT, GCS

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1992963888
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5636 Issued in OR
Practice address
3270 Liberty Rd S
Salem, OR 97302
Phone
(503) 371-0779
Fax
(503) 371-0886
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 5636 OR Primary

Addresses

Primary practice location

3270 Liberty Rd S
Salem, OR 97302

Mailing address

3270 Liberty Rd S
Salem, OR 97302
Phone (503) 371-0779

Other identifiers 1

IdentifierTypeStateIssuer
245938MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080710000542 OR Practitioner - Physical Therapist in Private Practice 0345312195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Motion Physical Therapy, Inc.Group PAC ID 8426078361, 36 clinicians

Practice addresses (Care Compare)

4710 River Rd N
Keizer, OR 97303-4536
Phone (971) 458-8235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5636ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Motion Physical Therapy, Inc. Physical Therapist CurrentSince Oct 24, 2025 Accepting new patients
Pediatric Therapy Services Inc Past Accepting new patients

Locations

1400 Valley River Dr
Ste 260
Eugene, OR 97401
Phone (458) 273-5052

4710 River Rd N
Keizer, OR 97303
Phone (971) 458-8235

732 Main St
Philomath, OR 97370
Phone (541) 929-2255

340 Vista Ave SE
Ste 250
Salem, OR 97302
Phone (971) 301-6225

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1992963888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-0779",
            "fax_number": "503-371-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-371-0779",
            "fax_number": "503-371-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHETTEN",
        "first_name": "BRADY",
        "middle_name": "K",
        "credential": "PT, DPT, GCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245938",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.