BREEANNA R PUMPER (PT) – Physical Therapist, NPI 1255360905

BREEANNA R PUMPER (PT) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT00009911 (WA). The NPI Number for BREEANNA R PUMPER (PT) is 1255360905

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
BREEANNA R PUMPER (PT)
NPI
1255360905
Phone
(503) 443-6156
Address
16083 SW UPPER BOONES FERRY RD STE 300
Enumeration Date
2 July 2006
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4258992560
Graduation Year
2005 (21 years ago)
PAC ID
2163428343
Group Practice PAC ID
7618880097
Professional Enrollment ID
I20061011000316
Address ID
WA980343013KI12040STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for BREEANNA R PUMPER (PT)

  • Southwest Upper Boones Ferry Road, Durham Road, Tigard, Metro, Washington County, Oregon, 97035, United States

    TIGARD, OR 972247736

    Phone: (503) 443-6156

    Fax: (503) 639-9699

    Type: Mailing

  • Bothell-Everett Highway, Canyon Park, Bothell, Snohomish County, Washington, 98012-7134, United States

    BOTHELL, WA 98012

    Phone: (425) 424-3924

    Fax: (503) 424-3941

    Type: Location

  • 16030 BOTHELL EVERETT HWY STE 200

    MILL CREEK, WA 980121273

    Phone: (425) 745-4910

    Fax: (425) 338-5709

    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: 2006-10-11

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
I20061011000316IPhysical Therapist In Private PracticeWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97224)

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Provider's Procedures

BREEANNA R PUMPER (PT) 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 THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19329
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes12122

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: 7618880097View full group profile
NameSpecialtyState
-WA
-WA
-WA
Interventional Cardiology, Cardiovascular Disease (Cardiology)WA
Physician AssistantWY
-WA
Nurse PractitionerWA
Physician AssistantWV
Family PracticeVT
-WA

Reviews

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Frequently asked questions

What number should I use to identify BREEANNA R PUMPER (PT) for billing?
Administrative and clinical systems typically use NPI 1255360905 for BREEANNA R PUMPER (PT).
Should I treat BREEANNA R PUMPER (PT) as an active provider?
Patients and plans typically see BREEANNA R PUMPER (PT) as active in the national extract.
Which specialty label fits BREEANNA R PUMPER (PT)?
NPPES ties BREEANNA R PUMPER (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to BREEANNA R PUMPER (PT)?
BREEANNA R PUMPER (PT) shows a connection to Tigard, Oregon in registry-derived data.
Can I export BREEANNA R PUMPER (PT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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