Individual provider Active NPI

Jodie L Paschall-Majerus, PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1750340337
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7571 Issued in WA
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

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7106966MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001131 WA Practitioner - Physical Therapist in Private Practice 5294625331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Joint Ventures Therapeutics PCGroup PAC ID 7416969829, 5 clinicians

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

LicenseStateTypeSpecialty
2500ORMDChiropractor
7571WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Ventures Therapeutics PC Physical Therapist CurrentSince May 1, 2006 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.

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.

Verify at the official NPI Registry.