Individual provider Active NPI

Jennifer Morishima, MPT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1568644722
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4446 Issued in OR
Practice address
201 NE Park Plaza Dr Ste 246
Vancouver, WA 98684-5874
Phone
(800) 321-7862
NPI assigned
Nov 29, 2007
Last updated
May 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2012

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 4446 OR Primary
Physical Therapist 225100000X PT00008739 WA

Addresses

Primary practice location

201 NE Park Plaza Dr Ste 246
Vancouver, WA 98684-5874

Mailing address

17031 SW Berkeley LN
Beaverton, OR 97006-4236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00008739WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Well, Be Well PLLC Current Accepting new patients
New Proactive LLC Physical Therapist PastSince May 1, 2017 Accepting new patients
Proactive Orthopedic and Sports Physical Therapy of Gresham LLC PastSince May 19, 2015 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1568644722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17031 SW BERKELEY LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 246",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845874",
            "telephone_number": "800-321-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORISHIMA",
        "first_name": "JENNIFER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4446",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.