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JASON M VAUGHN PT
NPI 1376864256
Physical Therapist - Orthopedic in Lake Oswego, OR

Active since June 15, 2010Accepts Medicare Assignment
17355 BOONES FERRY RD STE B, LAKE OSWEGO, OR 97035(503) 635-0844(503) 635-0812 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason M Vaughn Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON M VAUGHN PT (NPI 1376864256) is an individual orthopedic provider in Lake Oswego, Oregon, licensed in Oregon (6244) and active in the NPI registry since June 2010. He maintains a secondary practice location in The Dalles and is a graduate of Other (2010).

NPPES Registry Identity

NPI1376864256
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJASON M VAUGHNCredential: PT
Location Address17355 BOONES FERRY RD STE BLake Oswego, OR 97035
Mailing Address1917 N Lakewood DrCoeur D Alene, ID 83814-2634 · (208) 277-0795 · Fax (208) 277-0775
Phone(503) 635-0844
Fax(503) 635-0812
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1376864256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OR · 6244
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
17355 BOONES FERRY RD STE B, Lake Oswego, OR 97035
Open in Google Maps ↗

Secondary Practice Location 1

Location 1551 Lone Pine BlvdThe Dalles, OR 97058-9403 · Phone (541) 296-7202 · Fax (541) 296-8008

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason M Vaughn Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830215862
PECOS Enrollment IDI20210420001605

Medicare Billing Reassignment

Medicare enrollment records show Jason Vaughn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shellman Inc PA
324 mi
Physical Therapist
1917 N LAKEWOOD DR
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 49 clinicians in this Medicare group
NPI 1326050253 (208) 664-8194

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,090 services106 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,085 services120 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
59 services54 patients
Evaluation for physical therapy, typically 45 minutes 97163
An evaluation for physical therapy is a comprehensive assessment of your body's functionality. It typically takes 45 minutes and involves tests to determine your strength, flexibility, balance, and pain levels. This information is crucial to create a personalized therapy plan to improve your mobility and comfort.
46 services46 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWENDOLYN SCHULZE SMITH PT
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-0844
KELLY ANNE O'NEILL
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 443-6156
WAYNE VANNEWKIRK
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-0844
THERAPEUTIC ACUPUNTURE
Acupuncturist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 309-8252
LEEZA NOBLE
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-0844
RYAN BAUGUS DPT
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-0844
MR. BREN F SCHMIDT M.P.T.
Physical Therapist
17355 BOONES FERRY RD STE B
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-0844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Vaughn's NPI number?

The NPI number for Jason Vaughn is 1376864256. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Jason Vaughn located?

Jason Vaughn practices at 17355 Boones Ferry Rd Ste B, Lake Oswego, OR 97035. The listed phone number is (503) 635-0844.

What is Jason Vaughn's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jason Vaughn enrolled in Medicare?

Yes. Jason Vaughn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jason Vaughn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Vaughn reassigns Medicare benefits to Shellman Inc PA (Coeur D Alene, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Vaughn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Vaughn accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Select Health list Jason Vaughn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Vaughn was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.