Active NPI
Rickard L Jones, M.S.P.T.
- Physical Therapist
- Forest Grove, OR
National Provider Identifier
1235287616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3122
- Practice address
- 2726 19TH Ave
Forest Grove, OR 97116-2623 - Phone
- (503) 357-7822
- Fax
- (503) 357-1472
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3122 | OR | Primary |
Addresses
Primary practice location
2726 19TH Ave
Forest Grove, OR 97116-2623
Mailing address
PO Box 1136
Forest Grove, OR 97116-4136
Phone (503) 357-7822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295470 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3122 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1235287616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1136",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971164136",
"telephone_number": "503-357-7822",
"fax_number": "503-357-1472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 19TH AVE",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971162623",
"telephone_number": "503-357-7822",
"fax_number": "503-357-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RICKARD",
"middle_name": "L",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295470",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.