Jennifer Kearsley
Individual provider Active NPI Physical Therapist · Scappoose, OR
NPI 1235538711 · NPPES record last updated May 7, 2018
Key facts
- NPI
- 1235538711
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 60759 (OR)
- Practice address
- 51577 Columbia River Hwy Ste a
Scappoose, OR 97056-8409 - Phone
- (503) 543-0254
- Fax
- (503) 543-0259
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapeutic Associates Inc
Practice addresses (Care Compare)
16315 SW Barrows Rd
Suite 205
Beaverton, OR 97007-9461
Phone (503) 521-0500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141029002807 | OR | Practitioner - Physical Therapist in Private Practice | 8729209077 | Reassigns benefits to 1 organization |
| I20200115003050 | WA | Practitioner - Physical Therapist in Private Practice | 8729209077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60759 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current |
Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500
996 NW Circle Blvd
Ste 101
Corvallis, OR 97330
Phone (541) 757-0878
2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194
2005 Elm St
Ste 200
Forest Grove, OR 97116
Phone (503) 357-9810
702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765
5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221
15796 SE McLoughlin Blvd
Oak Grove, OR 97267
Phone (503) 653-5763
8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924
10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583
1307 NE 102nd Ave
Ste G
Portland, OR 97220
Phone (503) 253-0924
2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808
58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914
51577 Columbia River Hwy
Ste A
Scappoose, OR 97056
Phone (503) 543-0254
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600
4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640
17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383
Interoperability endpoints
- jennifer.kearsley.1@31414.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60759 | OR | Yes |
Addresses
Primary practice location
51577 Columbia River Hwy Ste a
Scappoose, OR 97056-8409
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0330024 | Other | OR | WA L&I |
| 500675880 | Medicaid | OR | |
| 0330029 | Other | OR | WA L&I |
| P01457340 | Other | OR | RR MEDICARE PTAN |
Other names
- Jennifer Campo
Other providers in Scappoose, OR
- Kimberly Horn
- Tsung-Ju Hsieh
- Bethany Louise Hull
- Leslie D Iverson
- Lindsey M Jones
- Kendall R. Liday DDS LLC
- Troy Allen Kindy
- Olya Vasilyevna Kurkoski
- La Vita Bella Therapeutic Massage & Bodywork
- Christina Nadean Lane
All providers in Scappoose, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.