Jessica Isacson Clements

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT32493 Issued in FL

Practice address

5589 Okeechobee Blvd
Suite 205
West Palm Beach, FL 33417-4486

Phone

(561) 613-3037

NPI assigned

Aug 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jessica Michele Isacson 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.

• Let'S Play Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Crestview, FL
  • NPI 1104514967
  NPD Authorized official

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1275965626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5589 OKEECHOBEE BLVD",
            "address_2": "SUITE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174486",
            "telephone_number": "561-613-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 OKEECHOBEE BLVD",
            "address_2": "SUITE 205",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334174486",
            "telephone_number": "561-613-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "JESSICA",
        "middle_name": "ISACSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH 6911",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ISACSON",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clean & Sober Recovery Center, Inc.
• Clean Slate Living
• Clean Slate Recovery LLC
• Clean Slate Recovery LLC
• Clear Minds Health Services LLC
• Alisha M Clemons
• Cleopatra Ortiz, MD, PA
• Carline Clerge, D.C.
• Isabelle Clerger
• Rachelle Clermont, RN, MSN

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.