Individual provider Active NPI

Molly Jackson Morey, PT, DPT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1487476818
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65482 Issued in OR
Practice address
2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone
(503) 223-1856
Fax
(503) 709-0665
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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 65482 OR Primary

Addresses

Primary practice location

2330 NW Flanders St Ste G1
Portland, OR 97210-3441

Mailing address

2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone (503) 223-1856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122000800 OR Practitioner - Physical Therapist in Private Practice 7810422250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KJB Consulting CorporationGroup PAC ID 1759504590, 18 clinicians

Practice addresses (Care Compare)

2330 NW Flanders St
Suite G1
Portland, OR 97210-3441
Phone (503) 223-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KJB Consulting Corporation Physical Therapist CurrentSince Nov 5, 2024 Accepting new patients

Locations

1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 473-6725

2330 NW Flanders St
Ste G1
Portland, OR 97210
Phone (503) 224-9270

3934 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone 5032231856301

2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078

Organizations & group practices 1

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1487476818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE G1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103441",
            "telephone_number": "503-223-1856",
            "fax_number": "503-709-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE G1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103441",
            "telephone_number": "503-223-1856",
            "fax_number": "503-709-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREY",
        "first_name": "MOLLY",
        "middle_name": "JACKSON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.