Jessica Allen, DPT
Individual provider Active NPI Physical Therapist · Baker City, OR
NPI 1871994640 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1871994640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 61607 (OR)
- Practice address
- 3950 17TH St
Baker City, OR 97814-1300 - Phone
- (541) 523-8888
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Robert J Bachman P T PC
Practice addresses (Care Compare)
3950 17TH St
Suite B
Baker City, OR 97814-1300
Phone (541) 523-8888
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240813001805 | OR | Practitioner - Physical Therapist in Private Practice | 8325586027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61607 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J Bachman P T PC | Physical Therapist | Current |
Accepting new patients |
Locations
3950 17th St
Ste B
Baker City, OR 97814
Phone (541) 523-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61607 | OR | Yes |
| Physical Therapist | 225100000X | 037967 | NY |
Addresses
Primary practice location
3950 17TH St
Baker City, OR 97814-1300
Mailing address
14560 Hunt Mountain LN
Baker City, OR 97814-8186
Phone (315) 481-9133
Other providers in Baker City, OR
- Jacquelyn Denise Adams
- Jamie Lynn Agard
- James Aaron Ahhee
- Janet Alanko
- Randy Arlen Alanko
- Stephenie A Allen
- William Z Allen
- Lydia Florence Andersen
- Marilyn Lois Anderson-Labeau
- Monte W. Anderson
All providers in Baker City, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.