Active NPI
Jason Bouwkamp, DPT
- Orthopedic Physical Therapist
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 2500 NW 229TH Ave BLDG E
Suite 200
Hillsboro, OR 97124-7516 - Phone
- (503) 395-3000
- Fax
- (503) 336-0464
- NPI assigned
- Oct 15, 2014
- Last updated
- Jul 21, 2016
- 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 | NU | Primary |
Addresses
Primary practice location
2500 NW 229TH Ave BLDG E
Suite 200
Hillsboro, OR 97124-7516
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Florida College of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2801 15TH PL
Forest Grove, OR 97116-3107
Phone (352) 219-5930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H & P Goodell, Inc. | Current | Accepting new patients | |
| Erhardt Physical Therapy and Sports Medicine, LLC | Current | Accepting new patients | |
| Tracing Beta LLC | Orthopedic | Current | Accepting new patients |
| Pacific Neuro Therapy | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
4475 SW Scholls Ferry Rd
Ste 258
Portland, OR 97225
Phone (503) 292-5882
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopedic Physical Therapist
- Forest Grove, OR
- NPI 1992466817
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba Goodell Physical Therapy & Fitness Training
- Physical Therapy Clinic/Center
- Portland, OR
- NPI 1013908169
-
dba Apex Performance Wellness & Rehab
- Physical Therapist
- Tigard, OR
- NPI 1316394083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469059200000",
"number": "1861896185",
"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",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NW 229TH AVE BLDG E",
"address_2": "SUITE 200",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247516",
"telephone_number": "503-395-3000",
"fax_number": "503-336-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUWKAMP",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2016-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"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 Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.