Individual provider Active NPI

Jessica Anne Shelton, PT

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1073713749
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5019 Issued in OR
Practice address
7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961
Phone
(971) 501-4905
NPI assigned
Jul 20, 2007
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 5019 OR Primary

Addresses

Primary practice location

7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961

Mailing address

7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961
Phone (971) 501-4905

Other practice location 1

5555 NE Elam Young Pkwy
Hillsboro, OR 97124-6452
Phone (503) 216-1690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250831000307 OR Practitioner - Physical Therapist in Private Practice 9335640358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7305 SE Circuit Dr
Suite 140
Hillsboro, OR 97129-1961
Phone (971) 501-4905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Sep 2, 2025 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 2, 2025 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600

7305 SE Circuit Dr
Ste 140
Hillsboro, OR 97129
Phone (971) 501-4905

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1073713749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231961",
            "telephone_number": "971-501-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231961",
            "telephone_number": "971-501-4905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5555 NE Elam Young Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971246452",
            "country_code": "US",
            "telephone_number": "503-216-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.