Jackie Louise Moffenbier, PTA
Physical Therapy Assistant · Portland, OR
Jackie Louise Moffenbier, PTA is a physical therapy assistant with a practice address in Portland, Oregon, and NPI 1336405075, issued on Apr 6, 2012. Check the license (Oregon 07104, as entered in NPPES) with the Oregon board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jackie Louise Moffenbier
- Credential
- PTA
- Primary taxonomy
- Physical Therapy Assistant 225200000X
- License number
- 07104 OR
Self-reported in NPPES; status is on the state search - Practice location
- 6010 SW Shattuck RD., Portland, OR 97221
- Phone
- (503) 246-8811
- Enumerated
- Apr 6, 2012
- Record last updated
- Apr 6, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (503) 246-9957
- Entity
- Type 1 · individual
Also registered at 6010 SW Shattuck RD.
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kathryn Chaimov, OTR/LOccupational Therapist1245670264
- Mihaela Dumitro, PTAPhysical Therapy Assistant1225264476
- Jill Valenti, O.T.Occupational Therapist1164770921
Verify Jackie Louise Moffenbier in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license 07104Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Physical Therapy Assistant providers in Oregon
There are 767 physical therapy assistant records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other physical therapy assistant records in Oregon
- Keith AbramsAlbany, OR1669237202
- Jhun Daniele Agonoy, PTAForest Grove, OR1982394193
- Shem Aguila, PT ASSISTANTMilwaukie, OR1639265523
- Karen Aichele, LPTAPortland, OR1487853313
- Katelyn Albrecht, PTATigard, OR1376050435
- Erin Amick, PHYSICAL THERAPIST AMilwaukie, OR1720179245
- Elizabeth Anderson, PTAStayton, OR1538390257
- Ellen Anderson, PTAMilwaukie, OR1376739763
- Linda Anderson, PHYSICAL THERAPIST AMilwaukie, OR1972652618
- Mark Anderson, PTABeaverton, OR1548533193
Common questions
What is Jackie Louise Moffenbier, PTA's NPI number?
Jackie Louise Moffenbier, PTA's National Provider Identifier (NPI) is 1336405075, issued on Apr 6, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Jackie Louise Moffenbier, PTA located?
The NPPES record lists a practice address at 6010 SW Shattuck RD., Portland, OR, 97221. Phone: (503) 246-8811. Providers update this record themselves, so call before visiting.
How can I verify Jackie Louise Moffenbier, PTA's license?
NPPES lists Oregon license number 07104, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.