Active NPI
Jessica Probst, PT
- Physical Therapist
- Washington, DC
National Provider Identifier
1164585378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT871023
- Practice address
- 1020 19TH St NW Ste 650
Washington, DC 20036-6119 - Phone
- (202) 803-2068
- Fax
- (202) 846-7629
- NPI assigned
- Dec 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT871023 | DC | Primary |
Addresses
Primary practice location
1020 19TH St NW Ste 650
Washington, DC 20036-6119
Mailing address
1020 19TH St NW Ste 650
Washington, DC 20036-6119
Phone (202) 803-2068
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT871023 | DC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1164585378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 19TH ST NW STE 650",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200366119",
"telephone_number": "202-803-2068",
"fax_number": "202-846-7629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 19TH ST NW STE 650",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200366119",
"telephone_number": "202-803-2068",
"fax_number": "202-846-7629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "JESSICA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.