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

Mr. Jason Fortuno Villareal, PT

Individual provider Specialist · NPI 1639185168

Mr. Jason Fortuno Villareal, PT is a Physical Therapist in Private Practice in Coos Bay, Oregon. Graduated from University of Southern California Keck School of Medicine in 2006, 20 years ago. Practices with Therapydia Inc, a 36-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2006
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

1740 Thompson Rd
Coos Bay, OR 97420-2151
Phone: (541) 266-3658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT32980 (CA)

Record details

NPI number1639185168
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJuly 7, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Therapydia Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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