Active NPI
Jacob Gordon Klassen, DPT
- Physical Therapist
- Hammond, OR
National Provider Identifier
1972428126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 66078
- Practice address
- 868 5TH Ave
Unit B
Hammond, OR 97121 - Phone
- (208) 810-5160
- NPI assigned
- Aug 13, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 66078 | OR | Primary |
Addresses
Primary practice location
868 5TH Ave
Unit B
Hammond, OR 97121
Mailing address
PO Box 31
Hammond, OR 97121-0031
Phone (208) 810-5160
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1972428126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "HAMMOND",
"state": "OR",
"postal_code": "971210031",
"telephone_number": "208-810-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 5TH AVE",
"address_2": "UNIT B",
"city": "HAMMOND",
"state": "OR",
"postal_code": "97121",
"telephone_number": "208-810-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLASSEN",
"first_name": "JACOB",
"middle_name": "GORDON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-13",
"last_updated": "2026-08-13",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "66078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.