Active NPI
Jenna Lynn Schroeder, DPT
- Physical Therapist
- Beaverton, OR
National Provider Identifier
1588096358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61771
- Practice address
- 3925 SW 153Rd Dr Ste 210
Beaverton, OR 97003-4176 - Phone
- (971) 727-8155
- Fax
- (971) 727-8179
- NPI assigned
- Aug 5, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 60557268 | WA | |
| Physical Therapist | 225100000X | 61771 | OR | Primary |
| Physical Therapist | 225100000X | 4718 | OK |
Addresses
Primary practice location
3925 SW 153Rd Dr Ste 210
Beaverton, OR 97003-4176
Mailing address
20782 NW Longbow LN
Beaverton, OR 97006-1794
Phone (580) 222-1385
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61771 | OR | MD | Physical Therapist |
| PT 60557268 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
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.
-
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1588096358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20782 NW LONGBOW LN",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970061794",
"telephone_number": "580-222-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 SW 153RD DR STE 210",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970034176",
"telephone_number": "971-727-8155",
"fax_number": "971-727-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "JENNA",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 60557268",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61771",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.