MRS. JODI JANELLE DECKER (PT) – Physical Therapist, NPI 1972586360

MRS. JODI JANELLE DECKER (PT) is a healthcare provider. based in Vancouver, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT 00009055 (WA). The NPI Number for MRS. JODI JANELLE DECKER (PT) is 1972586360

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JODI JANELLE DECKER (PT)
NPI
1972586360
Phone
(360) 573-3611
Address
900 NE 139TH ST,
Enumeration Date
21 November 2005
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
3605733611
Graduation Year
1982 (44 years ago)
PAC ID
9638293780
Group Practice PAC ID
6103071014
Professional Enrollment ID
I20100826000847
Address ID
WA986852519VA900XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MRS. JODI JANELLE DECKER (PT)

  • The Vancouver Clinic | Salmon Creek 2, 2529, Northeast 139th Street, Mount Vista, Fairgrounds, Vancouver, Clark County, Washington, 98686, United States

    SUITE 102

    VANCOUVER, WA 98685

    Phone: (360) 573-3611

    Fax: (360) 573-3880

    Type: Mailing

  • 1905 SE 192ND AVE STE 109

    CAMAS, WA 986077415

    Phone: (360) 210-5440

    Type: Mailing

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: 2010-08-26

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
I20100826000847IPhysical Therapist In Private PracticeWATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43330$0
97140Therapy procedure using manual technique, each 15 minutes35330$0
97530Therapy procedure using functional activities19727$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10523$0
97161Evaluation for physical therapy, typically 20 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 98685)

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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: 6103071014View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

How is MRS. JODI JANELLE DECKER (PT) identified in CMS data?
CMS-hosted NPPES data lists MRS. JODI JANELLE DECKER (PT) with NPI 1972586360.
Can I rely on MRS. JODI JANELLE DECKER (PT) being an active provider?
As of the registry snapshot, MRS. JODI JANELLE DECKER (PT) is marked active.
What is MRS. JODI JANELLE DECKER (PT)'s primary classification?
Physical Therapist is the headline specialty for MRS. JODI JANELLE DECKER (PT) here. Clinical services aligned with this taxonomy classification.
Where is MRS. JODI JANELLE DECKER (PT) based?
MRS. JODI JANELLE DECKER (PT) is tied to Vancouver, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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