Jim Chea, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

11782 SW Barnes Rd Ste 160E
Portland, OR 97225-5939

Phone

(503) 641-2020

Fax

(503) 574-3274

NPI assigned

Mar 9, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Evergreen Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Portland, OR
  • NPI 1922299429

  Orthotist

  NPD (past)
• Colorado Orthotic & Prosthetic Services, LLC

  • Prosthetic/Orthotic Supplier
  • Denver, CO
  • NPI 1861492621

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1316488356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11782 SW BARNES RD STE 160E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255939",
            "telephone_number": "503-641-2020",
            "fax_number": "503-574-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11782 SW BARNES RD STE 160E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255939",
            "telephone_number": "503-641-2020",
            "fax_number": "503-574-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEA",
        "first_name": "JIM",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Cesar Chavez
• Jacob Chavez
• Sandra Chavez
• Stacy H Chavez, DA
• Shannon Eileen Chawla, LA.C
• Barry Cheaney II, MD
• Cheatham Psychology Services LLC
• Alyssa Nicole Cheatham, OTR/L
• Patrick James Cheatham, PSYD
• Jaeda Checkley, RN

• Prosthetist in Portland, OR
• Providers in Portland, OR by specialty
• Prosthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.