Jessica Smith-Blockley, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06497 Issued in OR

Legal business name

JESSICA SMITH-BLOCKLEY, LLC

Practice address

131 NW Hawthorne Ave Ste 103
Bend, OR 97703-2957

Phone

(458) 206-0862

Fax

(541) 241-7576

NPI assigned

Jul 14, 2017

Organization subpart

No

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

Authorized official

Name

Jessica Smith-Blockley, PTNPI 1952508996

Title

Owner

Phone

(208) 484-3819

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ascend Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Smith-Blockley, P.T

  • Physical Therapist
  • Portland, OR
  • NPI 1952508996
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396267902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 NW HAWTHORNE AVE STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032957",
            "telephone_number": "458-206-0862",
            "fax_number": "541-241-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 NW HAWTHORNE AVE STE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032957",
            "telephone_number": "458-206-0862",
            "fax_number": "541-241-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA SMITH-BLOCKLEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH-BLOCKLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-484-3819",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "9183085",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascend Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Colette Jerome, P.T.
• Christie Jespersen
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• Jessica Karriker, LLC
• Jessica Rae Psychotherapy LLC
• Gail Marie Jett, NURSE PRACTITIONER
• Kristi J Jett, MD
• Thomas Edward Jett, MD
• Liska I Jewell
• Ann Jiles

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.