Individual provider Active NPI

Jeffrey Daniel Cox, PT, DPT, OCS

  • Physical Therapist
  • West Linn, OR
National Provider Identifier
1326026758
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OR4764 Issued in OR
Practice address
1554 Garden St Ste 103
West Linn, OR 97068-3278
Phone
(503) 723-0347
Fax
(503) 655-9305
NPI assigned
Jan 5, 2006
Last updated
May 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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 OR4764 OR Primary
Physical Therapist 225100000X 8230 CO

Addresses

Primary practice location

1554 Garden St Ste 103
West Linn, OR 97068-3278

Mailing address

1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440

Other identifiers 3

IdentifierTypeStateIssuer
825473007OtherORREGENCE PPO
022779MedicaidOR
300622007OtherORREGENCE ADVANTAGE & PREFE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930000407 OR Practitioner - Physical Therapist in Private Practice 8527037134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Motion PLLCGroup PAC ID 6103071014, 30 clinicians

Practice addresses (Care Compare)

15970 SW Tualatin Sherwood Rd
Sherwood, OR 97140-8690
Phone (971) 206-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OR4764ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Motion, PLLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Mitchell Physical Therapy Inc Physical Therapist PastSince Jun 1, 2005 Accepting new patients
Stephen a Mitchell Physical Therapist Past Accepting new patients

Locations

1505 NE 40th Ave
Ste C
Portland, OR 97232
Phone (503) 210-1425

15970 SW Tualatin Sherwood Rd
Sherwood, OR 97140
Phone (971) 206-3400

1554 Garden St
Ste 103
West Linn, OR 97068
Phone (503) 582-1073

25030 SW Parkway Ave
Ste 100
Wilsonville, OR 97070
Phone (503) 582-1073

1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1326026758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 109",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415",
            "telephone_number": "360-210-5440",
            "fax_number": "602-107-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1554 GARDEN ST STE 103",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970683278",
            "telephone_number": "503-723-0347",
            "fax_number": "503-655-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "OR4764",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "8230",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE PPO",
            "identifier": "825473007",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022779",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ADVANTAGE & PREFE",
            "identifier": "300622007",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.