Active NPI
Jocelyn Deborah Riordan
- Orthopedic Physical Therapist
- Vancouver, WA
National Provider Identifier
1861841702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 61702
- Practice address
- 6700 NE 162ND Ave
#411
Vancouver, WA 98682-3858 - Phone
- (360) 567-0635
- NPI assigned
- Jun 10, 2016
- Last updated
- Jun 10, 2016
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 61702 | OR | Primary |
Addresses
Primary practice location
6700 NE 162ND Ave
#411
Vancouver, WA 98682-3858
Mailing address
4331 SE 79TH Ave
Portland, OR 97206-3308
Phone (206) 484-0997
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61702 | OR | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1861841702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4331 SE 79TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972063308",
"telephone_number": "206-484-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 NE 162ND AVE",
"address_2": "#411",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986823858",
"telephone_number": "360-567-0635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "JOCELYN",
"middle_name": "DEBORAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "61702",
"primary": true
}
],
"identifiers": [],
"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 Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.