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Active NPI 1073990891 Individual Practitioner Male Practitioner

Corey Phipps-Davisson

Physical Therapy Assistant • Portland, OR

Professional Overview & Biography Verified Profile Summary

Corey Phipps-Davisson is a registered healthcare professional specializing in Physical Therapy Assistant in Portland, OR. Practice services are available at 319 NE RUSSET ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

319 Ne Russet St

Portland, OR 972112815

Telephone 5032895571
Associated Practice Facility / Clinic
🏢 Marquis Companies Ii, Inc. Facility NPI 1861835456

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
144 Specialists

Practicing in Portland, OR (775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License OR 09165

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Physical Therapy Assistant

NUCC Taxonomy Code: 225200000X

State License WA P160548479

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pta License
P160548479 (WA)
Commercial Insurance / Payer ID Pta License
09165 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. David Genco , DPT

Physical Therapist

NPI 1003334392

Doctor of Physical Therapy

Stephanie Peters , PT

Physical Therapist

NPI 1073728374

Physical Therapist

Katherine Lee , OTR, L

Occupational Therapist

NPI 1124403811

Occupational Therapist Registered, L

Lori Austin , PTA

Physical Therapy Assistant

NPI 1295213338

Physical Therapist Assistant

Rebekah Hegewald , PTA

Physical Therapy Assistant

NPI 1407358013

Physical Therapist Assistant

Karissa Raney

Physical Therapy Assistant

NPI 1679259352

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2015

Registered at 319 NE RUSSET ST, PORTLAND, OR 972112815 (Tel: 5032895571)

📍
Updated Business Mailing Address April 30, 2015

Registered at 2003 SW 6TH ST, BATTLE GROUND, WA 986043016 (Tel: 5039138696)

👤
Provider Name / Credentials Updated April 30, 2015

Recorded as COREY PHIPPS-DAVISSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2015

Physical Therapy Assistant (License #09165 in OR)

🟢
Initial NPI Registration & Enumeration April 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1073990891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2015
Last Update: April 30, 2015
Sole Proprietor: Yes

Mailing Address

2003 Sw 6th St

Battle Ground, WA 986043016

Phone: 5039138696

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.