Individual provider Active NPI

Joseph Oelfke, PT, DPT

  • Physical Therapist
  • Forest Grove, OR
National Provider Identifier
1912387036
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61066 Issued in OR
Practice address
4150 Pacific Ave
Suite 100
Forest Grove, OR 97116-2276
Phone
(503) 357-1706
NPI assigned
Jun 3, 2015
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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 61066 OR Primary

Addresses

Primary practice location

4150 Pacific Ave
Suite 100
Forest Grove, OR 97116-2276

Mailing address

4150 Pacific Ave
Suite 100
Forest Grove, OR 97116-2276
Phone (503) 357-1706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151217000367 OR Practitioner - Physical Therapist in Private Practice 4183925118 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61066ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapist CurrentSince Apr 1, 2023 Accepting new patients
Oregon Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 19, 2023 Accepting new patients
Custom Care Physical Therapy, LLC. Past Accepting new patients

Locations

9620 NE Tanasbourne Dr
Ste 300
Hillsboro, OR 97124
Phone (833) 756-8643

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1912387036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162276",
            "telephone_number": "503-357-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162276",
            "telephone_number": "503-357-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OELFKE",
        "first_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.