Jackie Moffenbier, PTA
NPI 1336405075 · Physical Therapy Assistant · Portland, OR
Jackie Moffenbier, PTA is a Physical Therapy Assistant provider in Portland, OR (NPI 1336405075).
Provider details
- NPI number
- 1336405075
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 07104 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-04-06
- Last updated
- 2012-04-06
Frequently asked questions
- What is Jackie Moffenbier's NPI number?
- Jackie Moffenbier's National Provider Identifier (NPI) is 1336405075, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackie Moffenbier's specialty?
- Jackie Moffenbier is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackie Moffenbier located?
- Jackie Moffenbier's practice location on file with NPPES is 6010 Sw Shattuck Rd., Portland, OR 97221.
- What is Jackie Moffenbier's phone number?
- The practice phone number listed in the NPPES registry for Jackie Moffenbier is (503) 246-8811.
- Is Jackie Moffenbier's NPI active?
- Yes — Jackie Moffenbier's NPI (1336405075) is active in the NPPES registry as of the last update on 2012-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.