DR. WENDY BRACKEEN (NPI# 1265475172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265475172 |
| Entity Type | Individual |
| Full Name | DR. WENDY BRACKEEN |
| Other Name | WENDY KNIGHT |
| Credential | DC. |
| Practice Address |
1200 Ne 48th Ave Ste 700 Hillsboro OR 97124-5020 |
| Practice Telephone | 5036406064 |
| Practice Fax Number | 5036932330 |
| Mailing Telephone | 5036406064 |
| Mailing Fax Number | 5036932330 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5151 | OR | Chiropractic Providers |
| Street Address |
1200 NE 48TH AVE STE 700 |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110502 | Amber Sanguinetti | Clinical Exercise Physiologist | 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124-5020 | 2020-06-29 |
| 1811356025 | Mary Jenkins | Physical Therapist | 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124-5020 | 2016-02-16 |
| 1437574548 | Greg Slater | Physical Therapist | 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124-5020 | 2014-02-26 |
| 1982029138 | Fritz Brueggemeyer | Occupational Therapist | 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124-5020 | 2014-02-25 |
| 1275972549 | Michael R Cunningham | Physical Therapist | 1200 Ne 48th Ave Ste 700, Hillsboro, OR 97124-5020 | 2013-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396182580 | Katherine M Sill | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-05-28 |
| 1194953224 | Shamim Matin | Chiropractor | 1964 Ne 49th Way, Hillsboro, OR 97124-1302 | 2009-06-26 |
| 1861832545 | Pacific West Chiropractic, LLC | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381140 | Tyler Miller | Chiropractor | 455 Nw Wanapa St, Cascade Locks, OR 97014 | 2018-06-28 |
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1871039768 | Sissel Holloway | Chiropractor | 501 Portway Ave Ste 203, Hood River, OR 97031-1288 | 2017-01-16 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1588079776 | Function Performance Sport Chiropractic LLC | Chiropractor | 502 7th St Ste 100, Oregon City, OR 97045-2246 | 2014-06-25 |
| 1295162006 | Blake Testa | Chiropractor | 2663 12th St Se, Salem, OR 97302-2154 | 2013-10-11 |
| 1376883728 | Halsy James Carter | Chiropractor | 12700swnorth Dakota St 180, Tigard, OR 97223-0802 | 2013-02-21 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1275804171 | Dewar Chiropractic, LLC | Chiropractor | 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | 2012-01-24 |
| 1982971529 | Adam Arthur Meisenhelder | Chiropractor | 11385 Sw Scholls Ferry Rd., Beaverton, OR 97008-7168 | 2011-11-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.