Active NPI
Jonathon Shumway, PT DPT
- Physical Therapist
- Molalla, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP032297T
- Practice address
- 1515 W Main St Ste E
Molalla, OR 97038-7363 - Phone
- (503) 776-0970
- NPI assigned
- Oct 4, 2019
- Last updated
- Mar 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01885700 | NJ | |
| Physical Therapist | 225100000X | PT61667316 | WA | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | CP032297T | OR | Primary |
Addresses
Primary practice location
1515 W Main St Ste E
Molalla, OR 97038-7363
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Other practice location 1
3276 Washington Rd
Parlin, NJ 08859-1676
Phone (732) 238-8484
Other practice location 2
2120 W Spring St Ste 1600
Monroe, GA 30655-3901
Phone (678) 712-3686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, OR, WA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8040 E Mill Plain Blvd
Vancouver, WA 98664-2002
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01885700 | NJ | MD | Physical Therapist |
| CP032297T | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services of South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280
2120 W Spring St
Ste 1600
Monroe, GA 30655
Phone (678) 712-3686
7 Carnegie Plz
Cherry Hill, NJ 08003
1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041
440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826
3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252
3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419
1515 W Main St
Ste E
Molalla, OR 97038
Phone (503) 776-0970
365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111
1537 Mount Hood Ave
Ste 103
Woodburn, OR 97071
Phone (503) 980-9390
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
8040 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 822-2778
Organizations & group practices 11
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.
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Physical Therapist
- Grants Pass, OR
- NPI 1801257191
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Roseburg, OR
- NPI 1427524388
-
- Physical Therapist
- Silverton, OR
- NPI 1952751364
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1386285963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W MAIN ST STE E",
"city": "MOLALLA",
"state": "OR",
"postal_code": "970387363",
"telephone_number": "503-776-0970"
}
],
"practiceLocations": [
{
"address_1": "3276 Washington Rd",
"address_purpose": "LOCATION",
"city": "Parlin",
"state": "NJ",
"postal_code": "088591676",
"country_code": "US",
"telephone_number": "732-238-8484",
"fax_number": "732-855-9755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2120 W Spring St Ste 1600",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306553901",
"country_code": "US",
"telephone_number": "678-712-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUMWAY",
"first_name": "JONATHON",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-04",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01885700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61667316",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "CP032297T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Molalla, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.