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

Jay Fasteen, PTA

Individual provider Physical Therapy Assistant · NPI 1356741011

Jay Fasteen, PTA is a Physical Therapy Assistant in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2014.

Licensed in
OR, WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

5601 SE 122nd Ave
Portland, OR 97236-4601
Phone: (503) 761-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 09022 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence P1 60427509 (WA)

Record details

NPI number1356741011
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 1, 2014
Last updated in NPPESSeptember 3, 2014

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