Individual provider Active NPI

Jessica Leigh Giddings, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1093054850
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13997 Issued in NC
Practice address
3200 Blue Ridge Rd
Suite 122
Raleigh, NC 27612-8086
Phone
(919) 786-7434
NPI assigned
Feb 13, 2013
Last updated
Feb 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13997 NC Primary

Addresses

Primary practice location

3200 Blue Ridge Rd
Suite 122
Raleigh, NC 27612-8086

Mailing address

3200 Blue Ridge Rd
Suite 122
Raleigh, NC 27612-8086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000428 NC Practitioner - Physical Therapist in Private Practice 6507004421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hey Clinic PAGroup PAC ID 0244289056, 4 clinicians

Practice addresses (Care Compare)

3320 Wake Forest Rd
Raleigh, NC 27609-7300
Phone (919) 790-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13997NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hey Clinic, PA Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients

Locations

1801 Olive Chapel Rd
Ste 103
Apex, NC 27502
Phone (919) 373-5353

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

3200 Blue Ridge Rd
Ste 122
Raleigh, NC 27612
Phone (919) 781-0018

3320 Wake Forest Rd
Ste 450
Raleigh, NC 27609
Phone (919) 790-1717

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1093054850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128086",
            "telephone_number": "919-786-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDDINGS",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.