Olivia June Cook
Individual provider Active NPI Physical Therapist · Scappoose, OR
NPI 1760155196 · NPPES record last updated Oct 10, 2024
Key facts
- NPI
- 1760155196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 64019 (OR)
- Practice address
- 51385 SW Old Portland Rd Ste E
Scappoose, OR 97056-4062 - Phone
- (503) 543-7768
- NPI assigned
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- 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 LLC
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 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.72 of 100
- Quality
- 96.78
- Improvement activities
- 40
- Cost
- 76.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OR, WA, AK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Rebound Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current |
Accepting new patients |
| Adient Alaska, LLC | Physical Therapist | Current |
Accepting new patients |
| Rebound Physical Therapy Limited Partnership | Physical Therapist | Current |
Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64019 | OR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64019 | Other | OR | OREGON BOARD OF PHYSICAL THERAPY LICENSE NUMBER |
NPI Registry JSON
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF PHYSICAL THERAPY LICENSE NUMBER",
"identifier": "64019",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scappoose, OR
- Jenna Collie
- Columbia County Mobile Physical Therapy LLC
- Columbia County Public Health
- Compassionate Inhome Caregiving of Oregon, LLC
- Lesley Dorsett Conway
- Laura Criddle
- Evelyn M Crist
- Marni Lynn Doerfler
- Gary Micheal Domby
- Mary Davey Dower
All providers in Scappoose, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.