Jessica M London, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

62771 Issued in OR

Practice address

5167 River Rd N
Keizer, OR 97303-5349

Phone

(503) 967-7874

Fax

(503) 967-7871

NPI assigned

May 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1992296909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5167 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035349",
            "telephone_number": "503-967-7874",
            "fax_number": "503-967-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5167 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035349",
            "telephone_number": "503-967-7874",
            "fax_number": "503-967-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "62771",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Gitelson DMD PC
• Little Critters Pediatrics LLC
• Harrison Logan
• Kerie Logan, CCHT
• Cody Lommen, PT
• Michael Lonigan, M.D.
• Gabriella Lopes Machado de Souza
• Alicia Lopez
• Juan Lopez, PT
• Gary Curtis Lund, PT

• Physical Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.