Individual provider Active NPI

Jonathan McLane, DPT

  • Physical Therapist
  • Tigard, OR
National Provider Identifier
1083158786
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62033 Issued in OR
Practice address
7800 SW Durham Rd
Ste 500
Tigard, OR 97224-7577
Phone
(503) 937-0090
Fax
(503) 372-5191
NPI assigned
Dec 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 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 62033 OR Primary

Addresses

Primary practice location

7800 SW Durham Rd
Ste 500
Tigard, OR 97224-7577

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922000876 NC Practitioner - Physical Therapist in Private Practice 5890076897 Reassigns benefits to 1 organization
Practice locations: Cary, NC; Raleigh, NC

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

149 New Leicester Hwy
Asheville, NC 28806-1917
Phone (828) 225-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of North Carolina LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist CurrentSince Dec 12, 2016 Accepting new patients
PT Solutions of North Carolina LLC Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients

Locations

149 New Leicester Hwy
Asheville, NC 28806
Phone (828) 225-3838

100 Ridge View Dr
Ste 102
Cary, NC 27511
Phone (919) 380-0964

10940 Raven Ridge Rd
Ste 110
Raleigh, NC 27614
Phone (919) 518-0420

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

Organizations & group practices 3

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": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1083158786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW DURHAM RD",
            "address_2": "STE 500",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247577",
            "telephone_number": "503-937-0090",
            "fax_number": "503-372-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLANE",
        "first_name": "JONATHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62033",
            "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 14, 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.