Individual provider Active NPI

Jean Elizabeth Lindley Oakes, RPT

  • Physical Therapist
  • Ontario, OR
National Provider Identifier
1265462022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1266 Issued in OR
Practice address
514 SW 4TH St
Ontario, OR 97914-3403
Phone
(541) 889-8336
Fax
(541) 889-2310
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-607 ID
Physical Therapist 225100000X 1266 OR Primary

Addresses

Primary practice location

514 SW 4TH St
Ontario, OR 97914-3403

Mailing address

PO Box 1047
Ontario, OR 97914-1047
Phone (541) 889-8336

Other identifiers 1

IdentifierTypeStateIssuer
117929MedicaidOR

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT-607IDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265462022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141047",
            "telephone_number": "541-889-8336",
            "fax_number": "541-889-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SW 4TH ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143403",
            "telephone_number": "541-889-8336",
            "fax_number": "541-889-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLEY OAKES",
        "first_name": "JEAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-607",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117929",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.