Individual provider Active NPI

Jessica B McShane, DPT

  • Physical Therapist
  • Swedesboro, NJ
National Provider Identifier
1245288224
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02243300 Issued in NJ
Practice address
520 Beckett Rd Ste 200
Swedesboro, NJ 08085-1732
Phone
(856) 467-3421
Fax
(856) 467-3421
NPI assigned
May 4, 2006
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012989L PA
Physical Therapist 225100000X 40QA02243300 NJ Primary

Addresses

Primary practice location

520 Beckett Rd Ste 200
Swedesboro, NJ 08085-1732

Mailing address

209 Cattail LN
Mullica Hill, NJ 08062-1892
Phone (215) 284-9333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240418001467 NJ Practitioner - Physical Therapist in Private Practice 7517976202 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012989LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osprey Rehabilitation, LLC. CurrentSince Feb 25, 2024 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc. Current Accepting new patients
Rehabclinics SPT Inc CurrentSince Feb 25, 2024 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Feb 25, 2024 Accepting new patients
Rehabclinics SPT Inc PastSince May 7, 2024 Accepting new patients

Locations

240 S White Horse Pike
Ste C6
Hammonton, NJ 08037
Phone (609) 561-5308

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

520 Beckett Rd
Ste 200
Swedesboro, NJ 08085
Phone (856) 467-3421

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1245288224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CATTAIL LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621892",
            "telephone_number": "215-284-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD STE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851732",
            "telephone_number": "856-467-3421",
            "fax_number": "856-467-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHANE",
        "first_name": "JESSICA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012989L",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02243300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.