Individual provider Active NPI

Jessica Steele-Thornborrow, PT, DPT

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1043699077
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60935 Issued in OR
Practice address
18039 SW Lower Boones Ferry Rd
Tigard, OR 97224-7228
Phone
(503) 753-1537
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60935 OR Primary

Addresses

Primary practice location

18039 SW Lower Boones Ferry Rd
Tigard, OR 97224-7228

Mailing address

20210 SW Carlin Blvd
Aloha, OR 97078-4227
Phone (971) 226-5163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002815 OR Practitioner - Physical Therapist in Private Practice 7113363961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tigard Physical Therapy IncGroup PAC ID 8123005345, 3 clinicians

Practice addresses (Care Compare)

12700 SW Pacific Hwy
Tigard, OR 97223-6136
Phone (503) 753-1537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60935ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tigard Physical Therapy Inc Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients

Locations

12700 SW Pacific Hwy
Tigard, OR 97223
Phone (503) 753-1537

18039 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 481-4945

18019 SW Lower Boones Ferry Rd
Tigard, OR 97224
Phone (503) 521-7086

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1043699077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20210 SW CARLIN BLVD",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970784227",
            "telephone_number": "971-226-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18039 SW LOWER BOONES FERRY RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247228",
            "telephone_number": "503-753-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE-THORNBORROW",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.