Individual provider Active NPI

Jonathon Shumway, PT DPT

  • Physical Therapist
  • Molalla, OR
National Provider Identifier
1386285963
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032297T Issued in OR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211005002873 SC Practitioner - Physical Therapist in Private Practice 6901238286 Reassigns benefits to 1 organization
I20231101002830 GA Practitioner - Physical Therapist in Private Practice 6901238286 Reassigns benefits to 3 organizations
I20241106001926 OR Practitioner - Physical Therapist in Private Practice 6901238286 Reassigns benefits to 1 organization
I20250328000548 WA Practitioner - Physical Therapist in Private Practice 6901238286 Reassigns benefits to 1 organization

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
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

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

LicenseStateTypeSpecialty
40QA01885700NJMDPhysical Therapist
CP032297TORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Sep 18, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 29, 2024 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Aug 10, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Services of South Carolina, LLC Physical Therapist CurrentSince Sep 1, 2021 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Aug 10, 2024 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Dec 29, 2024 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.

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.

Verify at the official NPI Registry.