Jacob Johnston

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3925 SW 153Rd Dr
Beaverton, OR 97003-4166

Phone

(971) 727-8155

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cascade Gresham Physical Therapy, Inc.

  • Specialist
  • Gresham, OR
  • NPI 1689657769
  NPD (past)

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1841078276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NW 16TH AVE APT 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SW 153RD DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970034166",
            "telephone_number": "971-727-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orion Joseph Johnson, LMT
• Rachel Nicole Johnson, ND, LAC
• Rebecca A Johnson, SLP
• Rosemary Johnson, COTA.
• Trista Johnson
• Kelsey N Jonas, PT
• Chylynn Lavera Jones-Sharp, RBAI
• Angela Jones
• Ariana Jones, MFT INTERN
• Ashley Dawn Jones

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.