Individual provider Active NPI

Jessica Riah Ortiz, DPT

  • Physical Therapist
  • Palo Alto, CA
National Provider Identifier
1447652219
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
41710 Issued in CA
Practice address
454 Forest Ave
Palo Alto, CA 94301-2608
Phone
(650) 331-3700
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 41710 CA Primary

Addresses

Primary practice location

454 Forest Ave
Palo Alto, CA 94301-2608

Mailing address

5545 Boston Harbor Rd NE
Olympia, WA 98506-1841

Other names 1

  • Jessica Riah Bedford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190508000366 WA Practitioner - Physical Therapist in Private Practice 9032451232 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

1347 Auburn Way N
Auburn, WA 98002-4110
Phone (253) 553-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41710CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Mar 12, 2019 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Swedish Health Services Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 30, 2023 Accepting new patients
Swedish Health Services CurrentSince Feb 28, 2024 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Jun 30, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Mar 12, 2019 Accepting new patients

Locations

202 Cross St SE
Auburn, WA 98002
Phone (253) 680-6000

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1447652219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 BOSTON HARBOR RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985061841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012608",
            "telephone_number": "650-331-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JESSICA",
        "middle_name": "RIAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "41710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BEDFORD",
            "middle_name": "RIAH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.