DR. JESSICA TRUONG (PT, DPT) – Physical Therapist, NPI 1548817844

DR. JESSICA TRUONG (PT, DPT) is a healthcare provider. based in Beaverton, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 60995273 (WA). The NPI Number for DR. JESSICA TRUONG (PT, DPT) is 1548817844

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA TRUONG (PT, DPT)
NPI
1548817844
Phone
Not provided
Address
15349 SW MALLARD DR STE 104
Enumeration Date
21 August 2019
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4046245407
Graduation Year
2019 (7 years ago)
PAC ID
9335645506
Group Practice PAC ID
1557395209
Professional Enrollment ID
I20251006002132
Address ID
GA303166833AT925XXJXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for DR. JESSICA TRUONG (PT, DPT)

  • Southwest Mallard Drive, Neighbors Southwest, Beaverton, Metro, Washington County, Oregon, 97007, United States

    BEAVERTON, OR 970079450

    Phone:

    Type: Mailing

  • 3928, Pacific Avenue Southeast, Lacey, Thurston County, Washington, 98503, United States

    LACEY, WA 985031109

    Phone: (360) 455-1350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251006002132IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557395209View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
-TN
Physical Therapist In Private PracticeTN
-GA
Occupational Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to DR. JESSICA TRUONG (PT, DPT)?
The federal identifier for DR. JESSICA TRUONG (PT, DPT) is NPI 1548817844.
Is DR. JESSICA TRUONG (PT, DPT) active in the national directory?
DR. JESSICA TRUONG (PT, DPT)'s public NPI profile is in an active state.
What does DR. JESSICA TRUONG (PT, DPT) treat or focus on?
Patients typically see DR. JESSICA TRUONG (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JESSICA TRUONG (PT, DPT)?
The page summarizes Beaverton, Oregon for DR. JESSICA TRUONG (PT, DPT); expand the address list for detail.
What if Beaverton, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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