Individual provider Active NPI

Jennifer Swartz

  • Physical Therapist
  • Sherwood, OR
National Provider Identifier
1639770332
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63621 Issued in OR
Practice address
20653 SW Windflower Ave
Sherwood, OR 97140-7850
Phone
(503) 496-0385
NPI assigned
Nov 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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 63621 OR Primary

Addresses

Primary practice location

20653 SW Windflower Ave
Sherwood, OR 97140-7850

Mailing address

9447 N Oswego Ave
Portland, OR 97203-1647
Phone (971) 237-0178

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405001171 OR Practitioner - Physical Therapist in Private Practice 3577970888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63621ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond the Clinic PC Physical Therapist CurrentSince Dec 22, 2020 Accepting new patients

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": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1639770332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9447 N OSWEGO AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031647",
            "telephone_number": "971-237-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20653 SW WINDFLOWER AVE",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971407850",
            "telephone_number": "503-496-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARTZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.