Individual provider Active NPI

Jessica Leigh Hull, PT, DPT, OCS

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1093448938
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014626A Issued in IN
Practice address
10412 Allisonville Rd Ste 117
Fishers, IN 46038-2035
Phone
(317) 581-1890
NPI assigned
Jul 7, 2022
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 05014626A IN Primary

Addresses

Primary practice location

10412 Allisonville Rd Ste 117
Fishers, IN 46038-2035

Mailing address

9858 Oakmont East Dr
Pendleton, IN 46064-0039

Other names 1

  • Jessica Leigh Bailey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000984 IN Practitioner - Physical Therapist in Private Practice 3476936808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body One Health and Fitness Center LLCGroup PAC ID 5395715007, 13 clinicians

Practice addresses (Care Compare)

10412 Allisonville Rd
Suite 117
Fishers, IN 46038-2035
Phone (317) 567-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body One Health and Fitness Center, LLC Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients

Locations

10412 Allisonville Rd
Ste 117
Fishers, IN 46038
Phone (317) 567-8500

8902 N Meridian St
Ste 120
Indianapolis, IN 46260
Phone (317) 581-1890

70 Brendon Way
Zionsville, IN 46077
Phone (317) 733-2800

Organizations & group practices 1

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": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1093448938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9858 OAKMONT EAST DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460640039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD STE 117",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382035",
            "telephone_number": "317-581-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014626A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAILEY",
            "middle_name": "LEIGH",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.