Jeffrey John Tjaarda, M.P.T.
Physical Therapist in Springfield, OR. Individual provider (NPI-1).
NPI number1104962091
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104962091
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey John Tjaarda
- Credential
- M.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5035 | OR | Yes |
Practice location
145 S 52nd PlSpringfield, OR 97478-6210
Phone 541-988-3337 · Fax 541-988-3299
Mailing address
145 S 52nd PlSpringfield, OR 97478-6210
Phone 541-988-3337 · Fax 541-988-3299
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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