Active NPI
Jessica Judith Fritson, PT, DPT, LAT, ATC
- Physical Therapist
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23998
- Practice address
- 1901 Mooney St
Winston Salem, NC 27103-3027 - Phone
- (336) 716-8091
- Fax
- (336) 716-9253
- NPI assigned
- Feb 7, 2020
- Last updated
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P23998 | NC | Primary |
| Athletic Trainer | 2255A2300X | LAT-5181 | NC |
Addresses
Primary practice location
1901 Mooney St
Winston Salem, NC 27103-3027
Mailing address
1901 Mooney St
Winston Salem, NC 27103-3027
Phone (336) 716-8091
Other practice location 1
5555 Ponce De Leon Blvd
Coral Gables, FL 33146-2513
Phone (305) 689-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Duke University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 Mooney St
Winston Salem, NC 27103-3027
Phone (336) 716-8091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P23998 | NC | MD | Physical Therapist |
| LAT-5181 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Multi-Specialty | Current | Accepting new patients |
Locations
4517 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 314-0611
1901 Mooney St
Winston Salem, NC 27103
Phone (336) 716-8091
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1215569215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 MOONEY ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033027",
"telephone_number": "336-716-8091",
"fax_number": "336-716-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 MOONEY ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033027",
"telephone_number": "336-716-8091",
"fax_number": "336-716-9253"
}
],
"practiceLocations": [
{
"address_1": "5555 Ponce De Leon Blvd",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331462513",
"country_code": "US",
"telephone_number": "305-689-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRITSON",
"first_name": "JESSICA",
"middle_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-07",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23998",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-5181",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.