Jessica Jane Fitzgerald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1626 Issued in ME

Practice address

21 Locust LN
South Berwick, ME 03908-2134

Phone

(207) 752-3234

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Safe Haven Home Modifications Consulting PLLC

  • Physical Therapist
  • South Berwick, ME
  • NPI 1144039041
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1003630708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOCUST LN",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082134",
            "telephone_number": "207-752-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOCUST LN",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039082134",
            "telephone_number": "207-752-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Dunphy
• Dynamic Imaging LLC
• Jeffrey Allen Eaton, NP, PHD
• Laneisha Emerson, M.A., BCBA
• Keri R Fernald, LCMHC
• Lori Anne Ford, MSPT
• Bette Jonas Freedson, LCSW
• Mary Ann Gagnon, APRN
• William Justin Gilbert, PT
• Great Works Chiropractic & Wellness, PA

• Physical Therapist in South Berwick, ME
• Providers in South Berwick, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.