Individual provider Active NPI

Jordan Brandon

  • Physical Therapist
  • Beaverton, OR
National Provider Identifier
1396169603
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60454 Issued in OR
Practice address
11000 SW Stratus St Ste 220
Beaverton, OR 97008-7130
Phone
(503) 863-5880
Fax
(503) 863-5881
NPI assigned
Feb 6, 2014
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 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 60454 OR Primary

Addresses

Primary practice location

11000 SW Stratus St Ste 220
Beaverton, OR 97008-7130

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other practice location 1

5736 NE Glisan St
Portland, OR 97213-3750
Phone (503) 863-5880

Other identifiers 2

IdentifierTypeStateIssuer
500668792MedicaidOR
R195466OtherORMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cc_otoc_therapy_pt_op_northeast_front_desk_pool12226103@oc.providencedirect.org The Oregon Clinic PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528000122 OR Practitioner - Physical Therapist in Private Practice 9739302423 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erhardt Physical Therapy and Sports Medicine LLCGroup PAC ID 1153214739, 58 clinicians
The Oregon Clinic, PCGroup PAC ID 2860390408, 353 clinicians

Practice addresses (Care Compare)

30060 SW Boones Ferry Rd
Suite C 34 and C 36
Wilsonville, OR 97070-8909
Phone (503) 404-3068

5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673

5736 NE Glisan St
Portland, OR 97213-3750
Phone (503) 863-5880

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Feb 5, 2014 Accepting new patients
The Oregon Clinic PC CurrentSince Jan 26, 2026 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Jul 5, 2023 Accepting new patients
The Oregon Clinic, PC CurrentSince Jan 26, 2026 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Feb 5, 2014 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

14603 SW Teal Blvd
Beaverton, OR 97007
Phone (941) 348-4641

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

4829 NE Mlk Jr Blvd
Ste 101
Portland, OR 97211
Phone (503) 283-8133

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801

5736 NE Glisan St
Portland, OR 97213
Phone (503) 236-2014

837 SW 1st Ave
Ste 150
Portland, OR 97204
Phone (503) 450-0591

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

30060 SW Boones Ferry Rd
Ste C34
Wilsonville, OR 97070
Phone (503) 404-3068

Interoperability endpoints

  • Direct secure messaging: cc_otoc_therapy_pt_op_northeast_front_desk_pool12226103@oc.providencedirect.org

Organizations & group practices 9

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": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1396169603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SW STRATUS ST STE 220",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087130",
            "telephone_number": "503-863-5880",
            "fax_number": "503-863-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5736 NE Glisan St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972133750",
            "country_code": "US",
            "telephone_number": "503-863-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500668792",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R195466",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cc_otoc_therapy_pt_op_northeast_front_desk_pool12226103@oc.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "5736 NE Glisan St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.