Individual provider Active NPI

Jaime Leigh Dutra Doppee, PT

  • Orthopedic Physical Therapist
  • Wilsonville, OR
National Provider Identifier
1003899592
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4774 Issued in OR
Practice address
25030 SW Parkway Ave
101
Wilsonville, OR 97070-9816
Phone
(503) 582-1073
Fax
(503) 582-1093
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4774 OR Primary

Addresses

Primary practice location

25030 SW Parkway Ave
101
Wilsonville, OR 97070-9816

Mailing address

18517 SW Colfelt LN
Sherwood, OR 97140-8873
Phone (503) 925-8780

Other names 1

  • Mrs. Jaime Leigh Dutra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4774ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Sports & Spine Therapy LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1003899592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18517 SW COLFELT LN",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408873",
            "telephone_number": "503-925-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE",
            "address_2": "101",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709816",
            "telephone_number": "503-582-1073",
            "fax_number": "503-582-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTRA DOPPEE",
        "first_name": "JAIME",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "DUTRA",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.