Jennifer Michelle Wilson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65267 Issued in OR

Practice address

4900 SW Griffith Dr Ste 135
Beaverton, OR 97005-2977

Phone

(503) 608-7717

NPI assigned

Oct 20, 2015

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Care Home Health, LLC

  dba Physicians Choice

  • Home Health Agency
  • Wilsonville, OR
  • NPI 1437546082
  NPD
• Divine Mercy Home Health, LLC.

  • Home Health Agency
  • Beaverton, OR
  • NPI 1932556750
  NPD (past)
• Michael Nease Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Salinas, CA
  • NPI 1356548846

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1659743458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 135",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052977",
            "telephone_number": "503-608-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 135",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052977",
            "telephone_number": "503-608-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3831",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "43048",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65267",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60539796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Renee Willins, MSW, LCSW
• Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT
• Willow Path Recovery LLC
• Bryon Willson, LMT
• Christina Lee Wilson, RDH,BSDH
• Jessica L Wilson, DO
• Nicholas Ryan Wilson, LMT
• Stacey L Wilson, CNM
• Victor A Wilson, DPT
• Caelie Jaye Winchester

• Physical Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.