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MR. JASON FORTUNO VILLAREAL PT
NPI 1639185168
Specialist in Coos Bay, OR

Active since August 01, 2006
1740 THOMPSON RD, COOS BAY, OR 97420(541) 266-3658 Get Directions Write a Review

NPPES record last updated: July 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jason Fortuno Villareal Pt NPPES

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

MR. JASON FORTUNO VILLAREAL PT (NPI 1639185168) is an individual specialist in Coos Bay, Oregon, licensed in California (PT32980) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1639185168
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JASON FORTUNO VILLAREALCredential: PT
Location Address1740 THOMPSON RDCoos Bay, OR 97420-2151
Mailing Address2808 E Burnside StPortland, OR 97214-1830 · (503) 477-4802 · Fax (503) 477-9395
Phone(541) 266-3658
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 7, 2016
✔ NPI 1639185168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT32980
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1740 THOMPSON RD, Coos Bay, OR 97420
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Other Identifiers 1

Medicare ID-Type UnspecifiedWPT32980ACA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason Fortuno Villareal Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Therapydia, Inc.
167 mi
Physical Therapist
2808 E. BURNSIDE STREET
Portland, OR 97214
  • Reassigned Medicare billing, Oregon enrollment
  • 44 clinicians in this Medicare group
NPI 1346672797 (415) 533-4863

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 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.
336 services52 patients
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.
218 services47 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
176 services39 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
19 services16 patients

Other Providers at the Same Location NPPES

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

MR. SCOT ALLEN EMBRY PT
Physical Therapist
1740 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 266-3658

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 Villareal's NPI number?

The NPI number for Jason Villareal is 1639185168. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Jason Villareal located?

Jason Villareal practices at 1740 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 266-3658.

What is Jason Villareal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jason Villareal enrolled in Medicare?

Yes. Jason Villareal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Villareal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Villareal reassigns Medicare benefits to Therapydia, Inc. (Portland, OR). 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 Villareal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Villareal accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Jason Villareal 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 Villareal was last updated on July 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.