Individual provider Active NPI

Stephen Robert Ocampo, PT, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1801163472
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
511 SW 10TH Ave Ste 101
Portland, OR 97205
Phone
(503) 294-7463
Fax
(503) 294-7405
NPI assigned
Nov 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 Primary

Addresses

Primary practice location

511 SW 10TH Ave Ste 101
Portland, OR 97205

Mailing address

511 SW 10TH Ave Ste 101
Portland, OR 97205-2700
Phone (503) 294-7463

Other practice location 1

24850 Old 41 Rd
Unit 17
Bonita Springs, FL 34135-7021
Phone (941) 585-8083

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glasser Wulff Inc Physical Therapist CurrentSince Oct 13, 2019 Accepting new patients

Locations

511 SW 10th Ave
Ste 101
Portland, OR 97205
Phone (503) 294-7463

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1801163472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052700",
            "telephone_number": "503-294-7463",
            "fax_number": "503-294-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-294-7463",
            "fax_number": "503-294-7405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24850 Old 41 Rd",
            "address_2": "Unit 17",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "341357021",
            "country_code": "US",
            "telephone_number": "941-585-8083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCAMPO",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-25",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.