Active NPI
Jessica Marie Roddy, MS PT
- Physical Therapist
- New Castle, PA
National Provider Identifier
1104944735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014043L
- Practice address
- 3023 Wilmington Rd
New Castle, PA 16105 - Phone
- (724) 656-8814
- Fax
- (724) 656-8815
- NPI assigned
- Mar 26, 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 | PT014043L | PA | Primary |
Addresses
Primary practice location
3023 Wilmington Rd
New Castle, PA 16105
Mailing address
116 Great Belt Rd
Butler, PA 16002
Phone (724) 816-2872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013724060001 | Other | PA | MEDICAL ASSISTANCE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014043L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Professionals Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- New Castle, PA
- NPI 1528186152
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104944735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 GREAT BELT RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "16002",
"telephone_number": "724-816-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 WILMINGTON RD",
"city": "NEW CASTLE",
"state": "PA",
"postal_code": "16105",
"telephone_number": "724-656-8814",
"fax_number": "724-656-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODDY",
"first_name": "JESSICA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT014043L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE NUMBER",
"identifier": "1013724060001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Castle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.