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

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.

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 (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 100 (group)
Quality
87.65
Improvement activities
40
Cost
73.37

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100 (group)
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 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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

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

IdentifierTypeStateIssuer
64019OtherOROREGON BOARD OF PHYSICAL THERAPY LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2024.

{
    "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

All providers in Scappoose, OR · Physical Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.