Jessica Blair Katz, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01823900 Issued in NJ

Practice address

829 Spruce St Ste 105
Philadelphia, PA 19107-5752

Phone

(215) 383-1620

Fax

(215) 383-1621

NPI assigned

Sep 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Jessica B. Freedman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1093290074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "858-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 SPRUCE ST STE 105",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075752",
            "telephone_number": "215-383-1620",
            "fax_number": "215-383-1621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 E Wadsworth Park Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840208096",
            "country_code": "US",
            "telephone_number": "385-308-8034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 John F Kennedy Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021733",
            "country_code": "US",
            "telephone_number": "215-454-2812",
            "fax_number": "267-239-5027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATZ",
        "first_name": "JESSICA",
        "middle_name": "BLAIR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT005066",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027109",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01823900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "FREEDMAN",
            "middle_name": "B.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hilary Beth Katz, MSW, LSW
• Ira Ralph Katz, MD
• Jamie Beth Katz, DO
• Janice Delson Katz, M.D.
• Jason L Katz, PA-C
• Jessica P Katz, APRN
• Joan Lesley Katz, RDN
• Jonathan P Katz, MD
• Julia Katz, M.D.
• Julian Katz, LPC

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.