Jennifer Porter Hassibi, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Milwaukee, OR
NPI 1902986409 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902986409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1136521 (TX)
- Practice address
- 4560 SE International Way
Consonus Rehab Services
Milwaukee, OR 97222 - Phone
- (971) 206-5140
- Fax
- (971) 206-5209
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1136521 | TX | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1136521 | TX | Yes |
Addresses
Primary practice location
4560 SE International Way
Consonus Rehab Services
Milwaukee, OR 97222
Mailing address
4560 SE International Way
Milwaukee, OR 97222
Phone (971) 206-5140
Other names
- Jennifer Lynn Porter
Other providers in Milwaukee, OR
- Theresa Kathleen Andrews
- Patrick David Beste
- Megan Gloria Campbell
- Marquerite Anne Furfey
- Briana Michelle Jones
- Josh Rogers
- Annabeth Romriell
- Maitreyi Viswanathan
- Madalyn Kelly Yowell
All providers in Milwaukee, 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 8, 2007. 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.