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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Jan 9, 2025, Nov 11, 2024 (3 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 UpdateOctober 7, 20263 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ 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
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Accepted Insurance

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

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

Medicare Billing Reassignment

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

Stout Performance And Physical Therapy LLC
Same address
Sports
710 NE HOLLADAY ST # 150
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
NPI 1790593739 (503) 542-2744

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

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.

Which organization bills Medicare for Jacob Stout's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Stout reassigns Medicare benefits to Stout Performance And Physical Therapy LLC (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 Jacob Stout's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Stout accept?

Health plans from Moda Health Plan, Inc. 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 October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.