Active NPI
Deborah Ann Jones, PT
- Physical Therapist
- Tigard, OR
National Provider Identifier
1669726345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2126
- Practice address
- 18040 SW Lower Boones Ferry Rd
Tigard, OR 97224-7258 - Phone
- (503) 216-0860
- NPI assigned
- Nov 2, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2126 | OR | Primary |
Addresses
Primary practice location
18040 SW Lower Boones Ferry Rd
Tigard, OR 97224-7258
Mailing address
18040 SW Lower Boones Ferry Rd
Tigard, OR 97224-7258
Phone (503) 216-0860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 8TH Ave
Suite D
West Linn, OR 97068-4657
Phone (503) 387-5449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2126 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Edge Physical Therapy & Sports Medicine P.C. | Current | Accepting new patients |
Locations
2020 8th Ave
Ste D
West Linn, OR 97068
Phone (503) 387-5449
Organizations & group practices 2
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 Therapy Clinic/Center
- West Linn, OR
- NPI 1730324336
-
- Orthopaedic Surgery Physician
- Tualatin, OR
- NPI 1568151561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1669726345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18040 SW LOWER BOONES FERRY RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247258",
"telephone_number": "503-216-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18040 SW LOWER BOONES FERRY RD",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247258",
"telephone_number": "503-216-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-02",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "2126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.