Paul Cooley, DPT in Portland, OR - Medicare Physical Therapist Provider

Paul Cooley, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. His current practice location is 4876 Nw Bethany Blvd Ste L1, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 466-2254.

Paul Cooley is licensed to practice in Oregon (license number 61081) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831572023.

Contact Information

	Paul Cooley, DPT
	4876 Nw Bethany Blvd Ste L1, Portland, OR 97229-9259
	(503) 466-2254
	(503) 466-1143

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Cooley
Gender	Male
Speciality	Physical Therapist
Location	4876 Nw Bethany Blvd Ste L1, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831572023
Provider Enumeration Date: 07/07/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7618283748
Enrollment ID: I20150903000707

Medical Identifiers

Medical identifiers for Paul Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831572023	NPI	-	NPPES
2083648	Medicaid	WA
G8968912	Other	WA	MEDICARE
500696826	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	60766895 (Washington)	Secondary
225100000X	Physical Therapist	61081 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Cooley allows following entities to bill medicare on his behalf.

Provider Name	Therapeutic Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1972589364 PECOS PAC ID: 0042116279 Enrollment ID: O20040205000432

Provider Name	Beyond The Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225278682 PECOS PAC ID: 4587711999 Enrollment ID: O20090421000638

Provider Name	St Johns Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1144865841 PECOS PAC ID: 7113352964 Enrollment ID: O20200124000399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Cooley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Paul Cooley, DPT 16083 Sw Upper Boones Ferry Rd Ste 300, Tigard, OR 97224-7736 Ph: (800) 219-8835	Paul Cooley, DPT 4876 Nw Bethany Blvd Ste L1, Portland, OR 97229-9259 Ph: (503) 466-2254

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Paul Cooley, DPT - Medicare Physical Therapist in Portland, OR