Active NPI
Patrick O'Rielly Jansa, PT, DPT
- Orthopedic Physical Therapist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 64639
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64639 | OR | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coverly Physical Therapy, Inc. | Orthopedic | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Portland, OR
- NPI 1346672797
-
- Orthopedic Physical Therapist
- Denver, CO
- NPI 1255418661
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.