Jason Richard Caselli, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

64320 Issued in OR

Practice address

16100 NW Cornell Rd Ste 110
Beaverton, OR 97006-7369

Phone

(971) 245-6663

Fax

(971) 245-6664

NPI assigned

Dec 8, 2021

Last updated

Apr 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sportscare Physical Therapy @ Cornell, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tigard, OR
  • NPI 1255190153
  NPD
• Sportscare Physical Therapy @ Cornell, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1649534793
  NPD
• Ultra Physical Therapy & Hand Center, LLC

  • Physical Therapy Clinic/Center
  • Beaverton, OR
  • NPI 1669977898

  Physical Therapist

  NPD
• Ultra Physical Therapy & Hand Center II LLC

  • Physical Therapy Clinic/Center
  • Lake Oswego, OR
  • NPI 1679218317

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1306505227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 NE SHEFFIELD AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067493",
            "telephone_number": "480-612-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 NW CORNELL RD STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067369",
            "telephone_number": "971-245-6663",
            "fax_number": "971-245-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 NE Sheffield Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970067493",
            "country_code": "US",
            "telephone_number": "480-612-4854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASELLI",
        "first_name": "JASON",
        "middle_name": "RICHARD",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Barry Carpenter, L.M.T.
• Estivali Carrillo
• Nicholas David Carter, LPC
• Sharon Suzanne Carter, L.C.S.W.
• Cascadia Behavioral Healthcare Inc
• Nathan D Cashion, D.C.
• Abigail Castillo
• Desiree Castillo
• Maria L Castillo
• Summer Layne Castle, MAMFT

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.