Individual ProviderJessica LumbaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004(503) 744-4916(423) 238-7217PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Lumba does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063019263Provider TypeIndividualFull NameLumba, JessicaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date10/1/2020Last Updated5/7/2025Contact InformationPractice LocationPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004Phone(503) 744-4916FaxUnlisted FaxMailing LocationMailing Address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424Phone(423) 238-7217FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense63837OregonCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense61100607Washington