Active NPI
Jessica Anne Hartzell, MSPT
- Physical Therapist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6836
- Practice address
- 40 Duke Medicine Cir
Department of Rehabiliation Services
Durham, NC 27710-4000 - Phone
- (919) 684-2088
- Fax
- (919) 668-3131
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6836 | NC | Primary |
Addresses
Primary practice location
40 Duke Medicine Cir
Department of Rehabiliation Services
Durham, NC 27710-4000
Mailing address
40 Duke Medicine Clinic- Dept of Rehabilitation Service
Box 3965
Raleigh, NC 27710
Phone (919) 684-2088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108G | Other | NC | BCBS |
Other names 1
- Jessica A Kostyu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6836 | NC | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Physical Therapist | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
501 Douglas St
Durham, NC 27705
Phone (800) 235-3853
1821 Hillandale Rd
Ste 25B
Durham, NC 27705
Phone (919) 613-9105
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Physical Therapist
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
-
- Physical Therapist
- Raleigh, NC
- NPI 1245648534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1093838328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 DUKE MEDICINE CLINIC- DEPT OF REHABILITATION SERVICE",
"address_2": "BOX 3965",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-684-2088",
"fax_number": "919-668-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DUKE MEDICINE CIR",
"address_2": "DEPARTMENT OF REHABILIATION SERVICES",
"city": "DURHAM",
"state": "NC",
"postal_code": "277104000",
"telephone_number": "919-684-2088",
"fax_number": "919-668-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "JESSICA",
"middle_name": "ANNE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "6836",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1108G",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "KOSTYU",
"middle_name": "A",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.