Individual provider Active NPI

Jonathan David Eng, P.T.

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1275979007
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60196 Issued in OR
Practice address
8430 SW 22ND Ave
Portland, OR 97219-2856
Phone
(503) 389-5754
Fax
(503) 966-1459
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 60196 OR Primary

Addresses

Primary practice location

8430 SW 22ND Ave
Portland, OR 97219-2856

Mailing address

3521 SW Comus St
Portland, OR 97219-7561
Phone (202) 744-7693

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
60196ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Village Physical Therapy, LLC Physical Therapist CurrentSince Sep 21, 2025 Accepting new patients

Locations

8430 SW 22nd Ave
Portland, OR 97219
Phone (503) 389-5754

5055 N Greeley Ave
Portland, OR 97217
Phone (503) 285-9321

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1275979007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 SW COMUS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972197561",
            "telephone_number": "202-744-7693",
            "fax_number": "503-966-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 SW 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192856",
            "telephone_number": "503-389-5754",
            "fax_number": "503-966-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENG",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60196",
            "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 May 20, 2026; 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.