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ALEXANDRA GRUMBLATT DC
NPI 1215784939
Chiropractor in Portland, OR

Active since May 01, 2024
3543 NE BROADWAY ST, PORTLAND, OR 97232(971) 351-2270(971) 351-3035 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexandra Grumblatt Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA GRUMBLATT DC (NPI 1215784939) is an individual chiropractor in Portland, Oregon, licensed in Oregon (6370) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1215784939
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameALEXANDRA GRUMBLATTCredential: DC
Location Address3543 NE BROADWAY STPortland, OR 97232-1820
Mailing Address3543 Ne Broadway StPortland, OR 97232-1820 · (971) 351-2270
Phone(971) 351-2270
Fax(971) 351-3035
Sole ProprietorYes
Enumeration DateMay 1, 2024
NPPES CertifiedMay 1, 2024
✔ NPI 1215784939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 6370
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3543 NE BROADWAY ST, Portland, OR 97232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Grumblatt Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexandra Grumblatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiro One Wellness Center Of Raleigh Hills LLC
7.4 mi
Chiropractor
8225 SW APPLE WAY STE 100
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 3 clinicians in this Medicare group
NPI 1588360895 (503) 245-8445

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEA DELEGATO
Mechanotherapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270
JANA MARTINEZ LMT
Massage Therapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270
MOMOYE YAMAMOTO
Massage Therapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (415) 990-2132
JERICA SAPP LMT
Massage Therapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270
DANIELLE ADDIE PYLE RD, LD
Dietitian, Registered
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (503) 858-5514
ADELINE ANDRIESIAN LMT, RN
Massage Therapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270
JENNIFER CARROZZA LMT
Massage Therapist
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270
SOMATIC INC
Chiropractor
3543 NE BROADWAY ST
PORTLAND, OR 97232
Multnomah County (971) 351-2270

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Grumblatt's NPI number?

The NPI number for Alexandra Grumblatt is 1215784939. It was assigned to this individual provider in the NPPES registry on May 1, 2024.

Where is Alexandra Grumblatt located?

Alexandra Grumblatt practices at 3543 NE Broadway St, Portland, OR 97232. The listed phone number is (971) 351-2270.

What is Alexandra Grumblatt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Alexandra Grumblatt enrolled in Medicare?

Yes. Alexandra Grumblatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexandra Grumblatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandra Grumblatt reassigns Medicare benefits to Chiro One Wellness Center Of Raleigh Hills LLC (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandra Grumblatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandra Grumblatt accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Alexandra Grumblatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Grumblatt was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.