DANIEL BRASCH (DPT) – Physical Therapist, NPI 1104109503

DANIEL BRASCH (DPT) is a healthcare provider. based in Grants pass, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 6590 (OR). The NPI Number for DANIEL BRASCH (DPT) is 1104109503

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL BRASCH (DPT)
NPI
1104109503
Phone
(541) 479-0765
Address
702 SW RAMSEY AVE
Enumeration Date
21 September 2011
Last Update Date
1 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417762666
Graduation Year
2011 (15 years ago)
PAC ID
0143495028
Group Practice PAC ID
4284615311
Professional Enrollment ID
I20111205000007
Address ID
OR975047114ME36XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for DANIEL BRASCH (DPT)

  • 702 SW RAMSEY AVE

    SUITE 220

    GRANTS PASS, OR 975275858

    Phone: (541) 479-0765

    Fax: (541) 479-3461

    Type: Location

  • 16083 SW UPPER BOONES FERRY RD

    SUITE 300

    TIGARD, OR 972247736

    Phone: (800) 219-8835

    Fax: (503) 639-9699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111205000007IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes41239$0
97140Therapy procedure using manual technique, each 15 minutes40533$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes36734$0
97530Therapy procedure using functional activities21133$0
97535Training for self-care or home management, each 15 minutes3516$0
View full utilization report →

Insurance plans in this area (ZIP 97527)

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Provider's Procedures

DANIEL BRASCH (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97001Physical therapy evaluation6055

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284615311View full group profile
NameSpecialtyState
-OR
Physical Therapist In Private PracticeOR
-OR
-FL
Physical Therapist In Private PracticeNC
-TN
-CO
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

How do I look up DANIEL BRASCH (DPT) by NPI?
Use NPI 1104109503 when you need to reference DANIEL BRASCH (DPT) in forms, claims, or directories.
Is DANIEL BRASCH (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DANIEL BRASCH (DPT) work in?
You can think of DANIEL BRASCH (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is DANIEL BRASCH (DPT)'s primary listing?
We display Grants Pass, Oregon because that is what the record indicates for DANIEL BRASCH (DPT).
How can I contact DANIEL BRASCH (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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