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

Jacob Stout

Individual provider Physical Therapist · NPI 1851790570

Jacob Stout is a Physical Therapist in Private Practice in Portland, Oregon. Graduated from University of Washington School of Medicine in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

710 NE Holladay St
Portland, OR 97232-2168
Phone: (503) 949-1727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X
Physical Therapist Taxonomy 225100000X · Licence 60726 (OR)

Record details

NPI number1851790570
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 19, 2014
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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