Individual provider Active NPI

Jessica Lumba, DPT

  • Physical Therapist
  • Oregon City, OR
National Provider Identifier
1063019263
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63837 Issued in OR
Practice address
1424 Molalla Ave
Oregon City, OR 97045-4004
Phone
(503) 744-4916
NPI assigned
Oct 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 63837 OR Primary
Physical Therapist 225100000X 61100607 WA

Addresses

Primary practice location

1424 Molalla Ave
Oregon City, OR 97045-4004

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2921 Falk Rd
Vancouver, WA 98661-5683
Phone (360) 313-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250520004564 OR Practitioner - Physical Therapist in Private Practice 8921526161 Reassigns benefits to 1 organization
I20250925003346 WA Practitioner - Physical Therapist in Private Practice 8921526161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Corporate Dr
Suite 400
Hoover, AL 35242-2902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63837ORMDPhysical Therapist
61100607WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Jun 25, 2025 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince May 7, 2025 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince May 7, 2025 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Peak Sports & Spine Physical Therapy-Klahanie PS Past Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist PastSince Aug 5, 2013 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

1424 Molalla Ave
Oregon City, OR 97045
Phone (503) 744-4916

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

4550 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-2427

Organizations & group practices 7

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1063019263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454004",
            "telephone_number": "503-744-4916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 Falk Rd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986615683",
            "country_code": "US",
            "telephone_number": "360-313-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMBA",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63837",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61100607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.