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

Mr. Jesse Stuckey

Individual provider Physical Therapist · NPI 1336366558

Mr. Jesse Stuckey is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2007, 19 years ago. Practices with Empowerme Rehabilitation Colorado, LLC, a 105-clinician group and accepts Medicare assignment. Licensed in Oregon and Virginia.

Years since qualifying
19
Licensed in
OR, VA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

101 S State St Ste 200G
Lake Oswego, OR 97034-3900
Phone: (503) 636-3028
Fax: (503) 636-1837
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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 6416 (OR)
Physical Therapist Taxonomy 225100000X · Licence 2305204961 (VA)

Record details

NPI number1336366558
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESMay 4, 2011
Mailing address101 S State St Ste 200g, Lake Oswego, OR 97034-3900

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Empowerme Rehabilitation Colorado, Llc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Oswego