Active NPI
Jennifer Lynn Hartford, P.T.
- Physical Therapist
- Salem, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227892 | Medicaid | OR | |
| 5467820001 | Other | OR | MEDICARE DME NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
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
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 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4353 | OR | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Dimond Physical Therapy and Performance Lab, LLC | Physical Therapist | Past | 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.
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba The KOR
- Physical Therapist
- Beaverton, OR
- NPI 1184864365
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.