Individual provider Active NPI

Jill Esterson, PT

  • Physical Therapist
  • Great Barrington, MA
National Provider Identifier
1144286642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16465 Issued in MA
Practice address
168 Main St
Suite 2
Great Barrington, MA 01230-1618
Phone
(413) 644-0030
Fax
(413) 644-0039
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 16465 MA Primary

Addresses

Primary practice location

168 Main St
Suite 2
Great Barrington, MA 01230-1618

Mailing address

168 Main St
Suite 2
Great Barrington, MA 01230-1618
Phone (413) 644-0030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001178 MA Practitioner - Physical Therapist in Private Practice 1951344704 Practice locations: GT Barrington, MA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

168 Main St
Suite 2
Great Barrington, MA 01230-1618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16465MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144286642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "address_2": "SUITE 2",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301618",
            "telephone_number": "413-644-0030",
            "fax_number": "413-644-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 MAIN ST",
            "address_2": "SUITE 2",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301618",
            "telephone_number": "413-644-0030",
            "fax_number": "413-644-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTERSON",
        "first_name": "JILL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "16465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

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.
  • 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.