Individual provider Active NPI

Jessica Teply, PT, DPT

  • Physical Therapist
  • Medford, OR
National Provider Identifier
1922797018
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65580 Issued in OR
Practice address
3512 Excel Dr Ste 105
Medford, OR 97504-9850
Phone
(541) 245-0419
NPI assigned
May 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 304020 CA
Physical Therapist 225100000X 65580 OR Primary

Addresses

Primary practice location

3512 Excel Dr Ste 105
Medford, OR 97504-9850

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2044 Old Middlefield Way
Mountain View, CA 94043-2402
Phone (650) 260-4743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250127000279 OR Practitioner - Physical Therapist in Private Practice 7911436654 Reassigns benefits to 1 organization
I20260507003209 IA Practitioner - Physical Therapist in Private Practice 7911436654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hometown Physical Therapy Holding Company LLC 12 clinicians

Practice addresses (Care Compare)

20 W 6TH St
101 Spencer Physical Therapy
Spencer, IA 51301-3906
Phone (712) 580-5008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304020CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Revolutions in Fitness Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2044 Old Middlefield Way
Mountain View, CA 94043
Phone (650) 260-4743

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1922797018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 EXCEL DR STE 105",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049850",
            "telephone_number": "541-245-0419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Old Middlefield Way",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940432402",
            "country_code": "US",
            "telephone_number": "650-260-4743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEPLY",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304020",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.