Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ANDERSON, DPT
ActiveJACK ANDERSON, DPT is a Physical Therapy Assistant healthcare provider located in BEAVERTON, Oregon. NPI 1205400702 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BEAVERTON, OR
Registration Details
- NPI Number
- 1205400702
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2021 (5.2023054294111 yrs)
- Last Updated
- Mar 6, 2025
- License
-
64087 (OR)
Practice Information
- Address
-
5465 SW WESTERN AVE STE HBEAVERTON, OR, 970054179Browse OR providers · Browse ZIP 97005
- Phone
- 5036109281
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BEAVERTON, OR
| Name | Credential | NPI |
|---|---|---|
| SHANDA AILENE MCCORMICK | PT | 1932181062 |
| STEVEN RICHARD JONES | PHYSICAL THERAPIST | 1346222817 |
| ZACHARY REES JONES | PT | 1063495950 |
| MR. ROBERT WILLIAM FLEMING | MPT | 1649253592 |
| JAN LESLIE JACKSON | PHYSICAL THERAPIST | 1831173251 |
| MRS. CATHERINE POST SLOAN | PHYSICAL THERAPIST | 1275505299 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.