Active NPI
Jordan P Pascua, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1043144991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 66143
- Practice address
- 3710 SW US Veterans Hospital Rd RM 1C-194a
Portland, OR 97239-2964 - Phone
- (503) 273-5018
- NPI assigned
- Jun 8, 2026
- Last updated
- Jun 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT.PT.70150967-CP | WA | |
| Physical Therapist | 225100000X | 14221457-2401 | UT | |
| Physical Therapist | 225100000X | 66143 | OR | Primary |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd RM 1C-194a
Portland, OR 97239-2964
Mailing address
3710 SW US Veterans Hospital Rd RM 1C-194a
Portland, OR 97239-2964
Phone (503) 273-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 NE 87TH Ave
Vancouver, WA 98664-1913
PO Box
Portland, OR 97208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1043144991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD RM 1C-194A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392964",
"telephone_number": "503-273-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD RM 1C-194A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392964",
"telephone_number": "503-273-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUA",
"first_name": "JORDAN",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.PT.70150967-CP",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "14221457-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "66143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.