Individual provider Active NPI

Jennifer Lynn Hartford, P.T.

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1447231238
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2480 Liberty St NE
Salem, OR 97303-6780
Phone
(503) 763-3525
Fax
(503) 763-3526
NPI assigned
Nov 8, 2005
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Orthopedic Physical Therapist 2251X0800X 4353 OR

Addresses

Primary practice location

2480 Liberty St NE
Salem, OR 97303-6780

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 2

IdentifierTypeStateIssuer
227892MedicaidOR
5467820001OtherORMEDICARE DME NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090922000762 OR Practitioner - Physical Therapist in Private Practice 7517013147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erhardt Physical Therapy and Sports Medicine LLCGroup PAC ID 1153214739, 58 clinicians

Practice addresses (Care Compare)

2480 Liberty St NE
Suite 140
Salem, OR 97301-8381
Phone (503) 763-3525

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4353ORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Apr 20, 2002 Accepting new patients
Dimond Physical Therapy and Performance Lab, LLC Physical Therapist PastSince Jun 15, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

11709 SW Beaverton Hillsdale Hwy
Ste B6
Beaverton, OR 97005
Phone (971) 327-4906

14603 SW Teal Blvd
Beaverton, OR 97007
Phone (941) 348-4641

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944

495 W Arlington St
Gladstone, OR 97027
Phone (971) 233-0309

2259 SE Tualatin Valley Hwy
Hillsboro, OR 97123
Phone (971) 708-7322

5262 NE Brookwood Pkwy
Hillsboro, OR 97124
Phone (503) 395-3000

564 NE Highway 99W
McMinnville, OR 97128
Phone (503) 472-0096

3322 N Vancouver Ave
Portland, OR 97227

7545 SW Barnes Rd
Ste 117
Portland, OR 97225
Phone (503) 205-6704

9500 SE 82nd Ave
Ste B
Portland, OR 97086
Phone (971) 323-6234

2296 Gable Rd
Ste 230
Saint Helens, OR 97051
Phone (503) 438-3210

2480 Liberty St NE
Ste 140
Salem, OR 97301
Phone (503) 763-3525

4999 Skyline Rd S
Ste 90
Salem, OR 97306
Phone (503) 566-7700

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

51385 SW Old Portland Rd
Ste E
Scappoose, OR 97056
Phone (503) 543-7768

20655 SW Roy Rogers Rd
Sherwood, OR 97140
Phone (503) 862-5540

7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090

30060 SW Boones Ferry Rd
Ste C34
Wilsonville, OR 97070
Phone (503) 404-3068

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, 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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1447231238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973036780",
            "telephone_number": "503-763-3525",
            "fax_number": "503-763-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227892",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NUMBER",
            "identifier": "5467820001",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.