Kaitlin Jeziorowski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10358 Issued in OH

Practice address

970 W Juniper Ave
Hermiston, OR 97838-2118

Phone

(541) 567-8337

Fax

(541) 289-8858

NPI assigned

Jul 28, 2016

Last updated

Jul 19, 2023By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1265985949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542813",
            "telephone_number": "419-345-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 W JUNIPER AVE",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382118",
            "telephone_number": "541-567-8337",
            "fax_number": "541-289-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZIOROWSKI",
        "first_name": "KAITLIN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "09284",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2117571",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60687963",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "10358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saudisareth Ibarra, B.S.
• Icco, LLC (Bestmed)
• Karen Iverson
• Naman Jain, DO
• Fia Jensen, RN
• JM Jeremy Anderson DO
• Patrick B Johansing, D.O.
• Aaron Michael Johnson
• Marques S Johnson, MD
• Milton James Johnson, M.D.

• Physical Therapy Assistant in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.