Jessica L McCartan, PT, DPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3079 Issued in NV

Practice address

1514 12TH St Ste 103
Bellingham, WA 98225-7448

Phone

(360) 752-2673

Fax

(360) 752-0271

NPI assigned

Mar 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jessica L Devore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Battle Born Health Physical Therapy & Health Coaching

  • Physical Therapist
  • Reno, NV
  • NPI 1366089195
  NPD (past)

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1174821144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 W 2ND ST",
            "address_2": "SUITE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035312",
            "telephone_number": "775-747-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 12TH ST STE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257448",
            "telephone_number": "360-752-2673",
            "fax_number": "360-752-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 W 2nd St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895035312",
            "country_code": "US",
            "telephone_number": "775-747-2278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTAN",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DEVORE",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PT, DPT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tonani McBride, LW61578204
• Chloe McCabe, CDPT
• Sydney Elizabeth McCabe, RN
• Bryant R McCall, M.D.
• Caitlin Maire McCarron, CCC-SLP
• Evgina E McCarthy, LPN
• Ryan T McCarthy
• Calial Maurisa McCarty
• Julia McCarty
• Richard F McClenahan, MD

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.