Active NPI
Jessica Michelle Iams, PT
- Physical Therapist
- Bexley, OH
National Provider Identifier
1114087004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009648
- Practice address
- 2736 E Main St
Bexley, OH 43209-2534 - Phone
- (614) 586-1305
- Fax
- (614) 586-1307
- NPI assigned
- Dec 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT 9648 | OH | |
| Physical Therapist | 225100000X | PT009648 | OH | Primary |
Addresses
Primary practice location
2736 E Main St
Bexley, OH 43209-2534
Mailing address
2736 E Main St
Bexley, OH 43209-2534
Phone (614) 586-1305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2649754 | Medicaid | OH |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 9648 | OH | MD | Specialist |
| PT009648 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernandez Renner & Scai | Past | Accepting new patients | |
| Fernandez Renner and Scaia Physical Therapy Clinic Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Canton, OH
- NPI 1871555318
-
- Physical Therapy Clinic/Center
- Canton, OH
- NPI 1770545220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1114087004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2736 E MAIN ST",
"city": "BEXLEY",
"state": "OH",
"postal_code": "432092534",
"telephone_number": "614-586-1305",
"fax_number": "614-586-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2736 E MAIN ST",
"city": "BEXLEY",
"state": "OH",
"postal_code": "432092534",
"telephone_number": "614-586-1305",
"fax_number": "614-586-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IAMS",
"first_name": "JESSICA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "PT 9648",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT009648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2649754",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bexley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.