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Deactivated NPI 1932212669 Deactivated / Inactive NPI Male Practitioner

Patrick W Dodgen , PT

Physical Therapist • Brookings, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Patrick Dodgen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date June 21, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Patrick Dodgen, PT was a registered Physical Therapist practicing in Brookings, OR. Throughout an active medical career spanning 17 years, Patrick Dodgen provided care at the practice location at 616 HEMLOCK STREET until profile deactivation on 2023-06-21.

Historical Medicare Part B clinical services included therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, evaluation for physical therapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

616 Hemlock Street
A

Brookings, OR 97415

Telephone 5414121155
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Brookings, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.0 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Brookings, OR (4188 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
36.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
607 35 $39.93 $24.49
97140 Therapy procedure using manual technique, each 15 minutes
182 17 $42.00 $21.16
97162 Evaluation for physical therapy, typically 30 minutes
35 32 $140.00 $96.36

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License OR 3572

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 21, 2023

Record deactivated on June 21, 2023

NPI Profile Active October 19, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2007

Registered at 616 HEMLOCK STREET, A, BROOKINGS, OR 97415 (Tel: 5414121155)

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Updated Business Mailing Address October 19, 2007

Registered at PO BOX 1628, BROOKINGS, OR 974150039 (Tel: 5414121155)

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Provider Name / Credentials Updated October 19, 2007

Recorded as PATRICK DODGEN, P.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2007

Physical Therapist (License #3572 in OR)

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Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932212669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: October 19, 2007
Deactivation Date: June 21, 2023

Mailing Address

Po Box 1628

Brookings, OR 974150039

Phone: 5414121155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.