Jessica Ann Pare, MPT, OCS

Physical Therapist, Orthopedic in Issaquah, WA. Individual provider (NPI-1).

NPI number1992875314

StatusActive

Last updated in NPPESOct 19, 2020

Details

NPI: 1992875314
Entity type: Individual (NPI-1)
Name: Jessica Ann Pare
Credential: MPT, OCS
Sex: Female
Sole proprietor: No
Enumeration date: Nov 9, 2006
Certification date: Oct 19, 2020
Last updated: Oct 19, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
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
2251X0800X	Physical Therapist, Orthopedic	PT00009591	WA	Yes
225100000X	Physical Therapist	PT00009591	WA
2251S0007X	Physical Therapist, Sports	PT00009591	WA

Other names

Jessica Ann Shattuck (Former Name)

Practice location

510 8th Ave Ne Ste 340
Issaquah, WA 98029-5449

Phone 425-313-3051 · Fax 425-313-3055

Mailing address

510 8th Ave Ne Ste 320
Issaquah, WA 98029-5436

Phone 425-313-3051 · Fax 425-625-3517

Other practice locations

1750 112th Ave Ne
Suite E-175
Bellevue, WA 98004-3752

Phone 425-289-0381 · Fax 425-289-0387

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.

Other Orthopedic Physical Therapist providers in Issaquah, WA

All 5 Orthopedic Physical Therapist providers in Issaquah · All 2,127 providers in Issaquah

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