Individual provider Active NPI

Jessica Duke, PT, DPT

  • Physical Therapist
  • Skippack, PA
National Provider Identifier
1255947909
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1337336 Issued in TX
Practice address
3887 Skippack Pike
Skippack, PA 19474-2002
Phone
(610) 584-1400
Fax
(610) 584-5224
NPI assigned
Sep 18, 2020
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1337336 TX Primary

Addresses

Primary practice location

3887 Skippack Pike
Skippack, PA 19474-2002

Mailing address

560 N Route 100
Bechtelsville, PA 19505-9228
Phone (610) 584-1400

Other practice location 1

7840 Fm 1960 Rd E Ste 408409
Humble, TX 77346-2259
Phone (281) 812-6665

Other practice location 2

23780 Highway 59 N
Kingwood, TX 77339-1529
Phone (281) 358-1838

Other practice location 3

102 N Travis Ave
Cleveland, TX 77327-4012
Phone (281) 592-2884

Other names 1

  • Jessica Roberts Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008000914 TX Practitioner - Physical Therapist in Private Practice 1658790845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince Oct 8, 2024 Accepting new patients

Locations

12411 Hymeadow Dr
Ste 3B
Austin, TX 78750
Phone (512) 250-8497

511 Oakwood Blvd
Ste 205
Round Rock, TX 78681
Phone (541) 610-5204

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.

NPI Registry JSON

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1255947909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N ROUTE 100",
            "city": "BECHTELSVILLE",
            "state": "PA",
            "postal_code": "195059228",
            "telephone_number": "610-584-1400",
            "fax_number": "610-584-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3887 SKIPPACK PIKE",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194742002",
            "telephone_number": "610-584-1400",
            "fax_number": "610-584-5224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 Fm 1960 Rd E Ste 408409",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773462259",
            "country_code": "US",
            "telephone_number": "281-812-6665",
            "fax_number": "281-812-6869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23780 Highway 59 N",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773391529",
            "country_code": "US",
            "telephone_number": "281-358-1838",
            "fax_number": "281-358-1812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 N Travis Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TX",
            "postal_code": "773274012",
            "country_code": "US",
            "telephone_number": "281-592-2884",
            "fax_number": "281-592-3269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKE",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1337336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Skippack, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.