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

Individual provider Physical Therapist · NPI 1689279671

Jodie Mariko Miyamoto, DPT is a Physical Therapist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2020.

Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5330 NE Prescott St
Portland, OR 97218-2158
Phone: (503) 288-6585
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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 63894 (OR)
Physical Therapist Taxonomy 225100000X · Licence 61099152 (WA)

Record details

NPI number1689279671
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020

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