Jessica McConahay, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61838 Issued in OR

Practice address

1307 NE 102ND Ave
Suite G
Portland, OR 97220-3980

Phone

(503) 253-0924

Fax

(503) 256-5469

NPI assigned

Jul 27, 2016

Last updated

Feb 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KJB Consulting CorporationGroup PAC ID 1759504590, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.mcconahay.1@29632.direct.athenahealth.com

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.

• KJB Consulting Corporation

  dba Whole Body Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1497172373

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Nudge Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1679447395
  NPD Authorized official
• Therapeutic Associates Inc

  dba TAI Cedar Hills Physical Therapy

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)
• Therapeutic Associates Inc

  dba TAI - North Creek

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1083167951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 NE 102ND AVE",
            "address_2": "SUITE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203980",
            "telephone_number": "503-253-0924",
            "fax_number": "503-256-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAHAY",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500715462",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01767083",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Louise McCluskey, M.D.
• Maile Jean McCluskey, LPC
• John McCollum
• Jennifer A McColpin, RN, IBCLC
• John Arthur McComb, D.M.D.
• Nathaniel David McConkey, DO
• Annie McConnell, LMFT
• Bryn Marie McConnell
• Donald Bruce McConnell, M.D.
• Elaine McConnell

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.