Individual provider Active NPI

Olivia June Cook

  • Physical Therapist
  • Scappoose, OR
National Provider Identifier
1760155196
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64019 Issued in OR
Practice address
51385 SW Old Portland Rd Ste E
Scappoose, OR 97056-4062
Phone
(503) 543-7768
NPI assigned
Jul 30, 2021
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 64019 OR Primary

Addresses

Primary practice location

51385 SW Old Portland Rd Ste E
Scappoose, OR 97056-4062

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

900 NE 27th St
Bend, OR 97701-9548
Phone (541) 382-0479

Other practice location 2

1919 Lathrop St Ste 123
Fairbanks, AK 99701-5937
Phone (907) 455-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, AK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211111002669 OR Practitioner - Physical Therapist in Private Practice 6204225253 Reassigns benefits to 2 organizations
I20220510002574 WA Practitioner - Physical Therapist in Private Practice 6204225253 Reassigns benefits to 1 organization
I20230919002226 AK Practitioner - Physical Therapist in Private Practice 6204225253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
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

Practice addresses (Care Compare)

51385 SW Old Portland Rd
Scappoose, OR 97056-4061
Phone (503) 543-7768

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
96.78
Improvement activities
40
Cost
76.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients
Adient Alaska, LLC Physical Therapist CurrentSince Aug 7, 2023 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Apr 25, 2022 Accepting new patients

Locations

1919 Lathrop St
Ste 123
Fairbanks, AK 99701
Phone (907) 290-3075

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

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

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

7545 SW Barnes Rd
Ste 117
Portland, OR 97225
Phone (503) 205-6704

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

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

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

56870 Venture Ln
Ste 103S
Sunriver, OR 97707
Phone (541) 585-3148

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

405 NW Gilman Blvd
Ste 200
Issaquah, WA 98027
Phone (425) 392-6804

25248 Pacific Hwy S
Kent, WA 98032

11800 NE 128th St
Kirkland, WA 98034
Phone (425) 823-3937

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

7650 SE 27th St
Ste 112
Mercer Island, WA 98040
Phone (206) 230-8320

Organizations & group practices 7

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1760155196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51385 SW OLD PORTLAND RD STE E",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970564062",
            "telephone_number": "503-543-7768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NE 27th St",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977019548",
            "country_code": "US",
            "telephone_number": "541-382-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Lathrop St Ste 123",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997015937",
            "country_code": "US",
            "telephone_number": "907-455-4401",
            "fax_number": "907-455-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "OLIVIA",
        "middle_name": "JUNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scappoose, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.