Individual provider Active NPI

Jodie McGinlay, P.T.

  • Physical Therapist
  • Oregon City, OR
National Provider Identifier
1346796232
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61772 Issued in OR
Practice address
19721 S Highway 213
Oregon City, OR 97045-4190
Phone
(503) 305-8455
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 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 61772 OR Primary

Addresses

Primary practice location

19721 S Highway 213
Oregon City, OR 97045-4190

Mailing address

19721 S Highway 213
Oregon City, OR 97045-4190
Phone (503) 305-8455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61772ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Edge Physical Therapy, LLC Past Accepting new patients
Active Edge Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 2

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1346796232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19721 S HIGHWAY 213",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454190",
            "telephone_number": "503-305-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19721 S HIGHWAY 213",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454190",
            "telephone_number": "503-305-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINLAY",
        "first_name": "JODIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.