Active NPI
Jodie L Paschall-Majerus, PT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1750340337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7571
- Practice address
- 16219 SE 12TH St
#100
Vancouver, WA 98683-8904 - Phone
- (360) 253-4020
- Fax
- (360) 604-9293
- NPI assigned
- Mar 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2500 | OR | |
| Physical Therapist | 225100000X | 7571 | WA | Primary |
Addresses
Primary practice location
16219 SE 12TH St
#100
Vancouver, WA 98683-8904
Mailing address
16219 SE 12TH St
#100
Vancouver, WA 98683-8904
Phone (360) 253-4020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7106966 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
16111 SE McGillivray Blvd
Suite a
Vancouver, WA 98683-9033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500 | OR | MD | Chiropractor |
| 7571 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Ventures Therapeutics PC | Physical Therapist | Current | Accepting new patients |
Locations
16111 SE McGillivray Blvd
Ste A
Vancouver, WA 98683
Phone (360) 253-4020
16219 SE 12th St
Ste 100
Vancouver, WA 98683
Phone (360) 253-4020
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
- Ridgefield, WA
- NPI 1033177035
-
- Physical Therapy Clinic/Center
- Vancouver, WA
- NPI 1710172291
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1750340337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16219 SE 12TH ST",
"address_2": "#100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838904",
"telephone_number": "360-253-4020",
"fax_number": "360-604-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16219 SE 12TH ST",
"address_2": "#100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838904",
"telephone_number": "360-253-4020",
"fax_number": "360-604-9293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHALL-MAJERUS",
"first_name": "JODIE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "2500",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "7571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7106966",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.