Active NPI
Jay Michael Phillipe, DPT
- Physical Therapist
- Hillsboro, OR
National Provider Identifier
1770879744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6557
- Practice address
- 862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240 - Phone
- (503) 844-6565
- Fax
- (503) 844-4225
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6557 | OR | Primary |
Addresses
Primary practice location
862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240
Mailing address
862 SE Oak St Ste 2a
Hillsboro, OR 97123-4240
Phone (503) 844-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6557 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1770879744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 SE OAK ST STE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234240",
"telephone_number": "503-844-6565",
"fax_number": "503-844-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 SE OAK ST STE 2A",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234240",
"telephone_number": "503-844-6565",
"fax_number": "503-844-4225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPE",
"first_name": "JAY",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.