Tracing Beta LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

TRACING BETA LLC

Practice address

2801 15TH PL
Forest Grove, OR 97116-3107

Phone

(352) 219-5930

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Jason Bouwkamp, PT, DPT, MS, CSCSNPI 1861896185

Title

Physical Therapist and Owner

Phone

(352) 219-5930

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Bouwkamp, DPT

  • Orthopedic Physical Therapist
  • Hillsboro, OR
  • NPI 1861896185
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1992466817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 15TH PL",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163107",
            "telephone_number": "352-219-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 15TH PL",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163107",
            "telephone_number": "352-219-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACING BETA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "BOUWKAMP",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND OWNER",
        "authorized_official_telephone_number": "352-219-5930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MS, CSCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861896185",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Laraine Thomsen
• Vaughn G Tidwell, D.M.D.
• Emily Tilden
• Timothy J Gray DO LLC
• Melody Grace Tong
• Tranquil Health LLC
• Matthew Truong, O.D.
• Janice A Tsuchida, FNP
• Tuality Healthcare
• Travis Turgeon

• Orthopedic Physical Therapist in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.