Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cody Lommen, PT

Individual provider Physical Therapist · NPI 1134484603

Cody Lommen, PT is a Physical Therapist in Private Practice in Keizer, Oregon. Qualified in 2012, 14 years ago. Practices with Therapeutic Associates Inc, a 322-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5955 Shoreview Ln N Ste 100
Keizer, OR 97303-3981
Phone: (503) 463-4221
Fax: (503) 463-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6845 (OR)

Record details

NPI number1134484603
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 10, 2012
Last updated in NPPESNovember 9, 2012
Mailing address16083 Sw Upper Boones Ferry Rd, Ste. 300, Tigard, OR 97224-7736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Therapeutic Associates Inc — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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