Individual provider Active NPI

Jessica Hawley-Gamer, DPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1912459496
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20-4169280 Issued in CA
Practice address
415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816
Phone
(541) 579-3411
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20-4169280 CA Primary

Addresses

Primary practice location

415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816

Mailing address

6651 Enfield Ave
Reseda, CA 91335-5609
Phone (541) 579-3411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328001915 OR Practitioner - Physical Therapist in Private Practice 0749559102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

4876 NW Bethany Blvd
Suite L1
Portland, OR 97229-9259
Phone (503) 466-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Mar 21, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Adi Rehab, Incorporated Physical Therapist PastSince Nov 24, 2019 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

16315 SW Barrows Rd
Ste 205
Beaverton, OR 97007
Phone (503) 521-0500

4690 SW Washington Ave
Beaverton, OR 97005
Phone (503) 644-3311

2911 Tennyson Ave
Ste 204
Eugene, OR 97408
Phone (541) 515-6194

2005 Elm St
Ste 200
Forest Grove, OR 97116
Phone (503) 357-9810

702 SW Ramsey Ave
Ste 220
Grants Pass, OR 97527
Phone (541) 479-0765

5955 Shoreview Ln N
Ste 100
Keizer, OR 97303
Phone (503) 463-4221

10215 SW Parkway
Ste D
Portland, OR 97225
Phone (503) 292-3583

4876 NW Bethany Blvd
Ste L1
Portland, OR 97229
Phone (503) 466-2254

8028 NE Glisan St
Ste B
Portland, OR 97213
Phone (503) 253-0924

2040 NW Newcastle St
Roseburg, OR 97471
Phone (541) 673-1808

58147 Columbia River Hwy
Ste A
Saint Helens, OR 97051
Phone (503) 397-1914

20055 SW Pacific Hwy
Ste 110
Sherwood, OR 97140
Phone (503) 625-1691

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

29100 SW Town Center Loop W
Ste 190
Wilsonville, OR 97070
Phone (503) 570-7600

Interoperability endpoints

  • Direct secure messaging: jessica.hawley-gamer.1@31414.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1912459496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 ENFIELD AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355609",
            "telephone_number": "541-579-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 130",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106816",
            "telephone_number": "541-579-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY-GAMER",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "20-4169280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.