Active NPI
Joseph John Fricke, PT
- Orthopedic Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1660
- Practice address
- 11300 NE Halsey St
Suite 102
Portland, OR 97220-2096 - Phone
- (503) 257-9881
- Fax
- (503) 257-8964
- NPI assigned
- Mar 20, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1660 | OR | Primary |
Addresses
Primary practice location
11300 NE Halsey St
Suite 102
Portland, OR 97220-2096
Mailing address
11300 NE Halsey St
Suite 102
Portland, OR 97220-2096
Phone (503) 257-9881
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Parkrose Sports Care PT LLC | Current | Accepting new patients | |
| Sportscare Physical Therapy @ Cornell, LLC | Current | Accepting new patients | |
| Sportscare Physical Therapy @ Cornell, LLC | Current | Accepting new patients | |
| Ryan Douglas Glover Armworks Hand Therapy | Past | Accepting new patients | |
| Ryan Douglas Glover Armworks Hand Therapy | Past | Accepting new patients | |
| Sandy Sportscare Physical Therapy LLC | Orthopedic | Past | Accepting new patients |
Locations
16100 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (971) 245-6663
10121 SE Sunnyside Rd
Ste 208
Clackamas, OR 97015
Phone (503) 427-2956
10748 NE Halsey St
Portland, OR 97220
Phone (503) 257-9881
11300 NE Halsey St
Ste 102
Portland, OR 97220
Phone (503) 257-9881
3871 Fairview Industrial Dr SE
Ste 120
Salem, OR 97302
Phone (503) 990-6393
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1982748141
-
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1649534793
-
- Durable Medical Equipment & Medical Supplies
- Tigard, OR
- NPI 1255190153
-
- Hand Occupational Therapist
- Portland, OR
- NPI 1700891165
-
- Hand Occupational Therapist
- Gresham, OR
- NPI 1760516025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1851350870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 NE HALSEY ST",
"address_2": "SUITE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202096",
"telephone_number": "503-257-9881",
"fax_number": "503-257-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 NE HALSEY ST",
"address_2": "SUITE 102",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972202096",
"telephone_number": "503-257-9881",
"fax_number": "503-257-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRICKE",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "1660",
"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 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.