Jessie Clausen, PTA
Individual provider Active NPI Physical Therapy Assistant · Veneta, OR
NPI 1891242871 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1891242871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 09361 (OR)
- Practice address
- 88267 Territorial Rd
Suite 10a
Veneta, OR 97487-9499 - Phone
- (541) 935-0761
- Fax
- (541) 935-0536
- NPI assigned
- Sep 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09361 | OR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Force Physical Therapy, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 09361 | OR | Yes |
Addresses
Primary practice location
88267 Territorial Rd
Suite 10a
Veneta, OR 97487-9499
Mailing address
12705 Village Loop Rd
Swisshome, OR 97480
Phone (541) 297-2705
Other providers in Veneta, OR
- Julie Brooks
- Thomas James Burns
- Caris Pharmacy, Inc
- Caris Pharmacy, Inc
- Shannon Christine Carpani
- Loren Cushing
- Michelle Lynn Davies
- Delphina Solutions LLC
- Amanda Dimmen-Klenk
- Megan Fairchild
All providers in Veneta, OR · Physical Therapy Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.