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

Jack Anderson, DPT

Individual provider Physical Therapist · NPI 1205400702

Jack Anderson, DPT is a Physical Therapist in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

5465 SW Western Ave Ste H
Beaverton, OR 97005-4179
Phone: (503) 610-9281
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 64087 (OR)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1205400702
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025
Mailing address5465 Sw Western Ave Ste H, Beaverton, OR 97005-4179

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