Individual ProviderJessie GrimmerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004(503) 744-4916(423) 702-4389PECOS EnrollmentBased on the most recent information from CMS, provider Jessie Grimmer 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 ID1225735368Provider TypeIndividualFull NameGrimmer, JessieCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date2/9/2023Last Updated2/9/2023Contact InformationPractice LocationPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004Phone(503) 744-4916Fax(503) 974-9608Mailing LocationMailing Address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424Phone(423) 702-4389FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense64826Oregon