Individual provider Active NPI

Jamie Rae Cowan, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1114487915
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3979 Issued in NV
Practice address
1625 SE Lafayette St
Portland, OR 97202-3862
Phone
(503) 208-6617
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3979 NV Primary

Addresses

Primary practice location

1625 SE Lafayette St
Portland, OR 97202-3862

Mailing address

7080 SE Ogden St
Portland, OR 97206-7384
Phone (310) 953-1929

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
3979NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huma Physical Therapy LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

1625 SE Lafayette St
Portland, OR 97202
Phone (503) 208-6617

615 SE Clay St
Portland, OR 97214
Phone (503) 208-6617

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1114487915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 SE OGDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067384",
            "telephone_number": "310-953-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 SE LAFAYETTE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023862",
            "telephone_number": "503-208-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3979",
            "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 Dec 31, 2024; 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.