Jessica Marie Russell Tomkoski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P19209 Issued in NC

Practice address

5501 Welkin CT
Durham, NC 27713-2023

Phone

(864) 752-7464

NPI assigned

Jul 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Russell Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Move Free Physical Therapy and Wellness, LLC

  • Physical Therapist
  • Durham, NC
  • NPI 1396335105
  Medicare reassignment NPD Authorized official
• North Carolina Luna Care Physical Therapy LLC

  • Physical Therapist
  • Hendersonville, NC
  • NPI 1124626148
  Medicare reassignment NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1164049516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 WELKIN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132023",
            "telephone_number": "864-752-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WELKIN CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132023",
            "telephone_number": "864-752-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMKOSKI",
        "first_name": "JESSICA",
        "middle_name": "MARIE RUSSELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RUSSELL",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karriah Toler
• Amalia Tollas, LCSWA
• Kevin Lamont Tolson, BA, MSW, PLCSW
• Joshua Thomas Tomasik, CRNA
• Kelly Ann Tomko, ND
• Priscila M Tomlin
• Danielle Lynn Tomlinson, LMFT
• Haley Tomlinson
• Erin Nicole Tompkins
• Susan Kathleen Tomso

• Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.