Individual provider Active NPI

Patrick O'Rielly Jansa, PT, DPT

  • Orthopedic Physical Therapist
  • Portland, OR
National Provider Identifier
1689101701
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
64639 Issued in OR
Practice address
5736 NE Glisan St
Portland, OR 97213-3750
Phone
(503) 863-5880
Fax
(503) 863-5881
NPI assigned
May 19, 2017
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 64639 OR Primary
Physical Therapist 225100000X 14796 CO

Addresses

Primary practice location

5736 NE Glisan St
Portland, OR 97213-3750

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other practice location 1

11000 SW Stratus St Ste 220
Beaverton, OR 97008-7130
Phone (503) 863-5880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cc_otoc_therapy_pt_op_northeast_front_desk_pool12226103@oc.providencedirect.org The Oregon Clinic PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916003187 OR Practitioner - Physical Therapist in Private Practice 2062784168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

4140 N Williams Ave
Portland, OR 97217-2948
Phone (971) 347-1774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64639ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coverly Physical Therapy, Inc. Orthopedic CurrentSince May 30, 2017 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

1550 S Pearl St
Ste 101
Denver, CO 80210
Phone (303) 778-7246

2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802

3838 SE Powell Blvd
Portland, OR 97202
Phone (503) 603-4555

4140 N Williams Ave
Portland, OR 97217
Phone (971) 318-1367

Organizations & group practices 3

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1689101701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133750",
            "telephone_number": "503-863-5880",
            "fax_number": "503-863-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 SW Stratus St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970087130",
            "country_code": "US",
            "telephone_number": "503-863-5880",
            "fax_number": "503-863-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSA",
        "first_name": "PATRICK",
        "middle_name": "O'RIELLY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-19",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "64639",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "14796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cc_otoc_therapy_pt_op_northeast_front_desk_pool12226103@oc.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "5736 NE Glisan St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.

Verify at the official NPI Registry.