1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Physical Therapist
  6. NPI Profile

JACOB STOUT
NPI 1851790570
Physical Therapist - Sports in Portland, OR

Active since August 19, 2014Accepts Medicare Assignment
710 NE HOLLADAY ST, PORTLAND, OR 97232(503) 949-1727 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 9, 2025, Nov 11, 2024 (2 updates tracked since 2024).

About Jacob Stout NPPES

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

JACOB STOUT (NPI 1851790570) is an individual sports provider in Portland, Oregon and active in the NPI registry since August 2014. He is a graduate of University Of Washington School Of Medicine (2014).

NPPES Registry Identity

NPI1851790570
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJACOB STOUT
Location Address710 NE HOLLADAY STPortland, OR 97232-2168
Mailing Address710 Ne Holladay St # 150Portland, OR 97232-2168 · (503) 949-1727
Phone(503) 949-1727
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014
Enumeration DateAugust 19, 2014
Last NPPES UpdateJanuary 21, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1851790570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
Also ListedPhysical TherapistTaxonomy 225100000X · License 60726 (OR)
710 NE HOLLADAY ST, Portland, OR 97232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Stout 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 ID2163643370
PECOS Enrollment IDI20141030002650

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 Jacob Stout's NPI number?

The NPI number for Jacob Stout is 1851790570. It was assigned to this individual provider in the NPPES registry on August 19, 2014.

Where is Jacob Stout located?

Jacob Stout practices at 710 NE Holladay St, Portland, OR 97232. The listed phone number is (503) 949-1727.

What is Jacob Stout's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Jacob Stout enrolled in Medicare?

Yes. Jacob Stout 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.

What insurance does Jacob Stout accept?

Health plans from BridgeSpan Health Company, PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Jacob Stout 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 Jacob Stout was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.