Jodie Mae Adams, P.T.
Individual provider Active NPI Physical Therapist · Sherwood, OR
NPI 1376525220 · NPPES record last updated Aug 25, 2010
Key facts
- NPI
- 1376525220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT60119188 (WA)
- Practice address
- 20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140-9294 - Phone
- (503) 625-1691
- Fax
- (503) 926-1460
- NPI assigned
- Nov 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5033 | OR | MD | Physical Therapist |
| PT60119188 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5033 | OR | |
| Physical Therapist | 225100000X | PT60119188 | WA | Yes |
Addresses
Primary practice location
20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140-9294
Mailing address
1700 Broadway St.
Vancouver, WA 98663
Phone (360) 737-3346
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269836 | Medicaid | OR |
Other names
- Jodie Mae Padgett
Other providers in Sherwood, OR
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- Benjamin Jaret Aanderud
- Wendy Renee Abraham
- Adaptability for Life LLC
- Salwan Wesam Adjaj
- Advanced Accident Care Chiropractic LLC
- Aegis Group Practice LLC
- Jennifer Jasmine Aguirre-Reyes
All providers in Sherwood, 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 Aug 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.