Jessica Bernard

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60622615 Issued in WA

Practice address

40 Darby Rd Ste 1
Paoli, PA 19301

Phone

(610) 647-1729

Fax

(610) 647-1728

NPI assigned

Feb 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment NPD
• Strength and Balance Institute

  • Physical Therapist
  • Aventura, FL
  • NPI 1164077947
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1700862000
  NPD (past)

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1275992877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DARBY RD STE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011481",
            "telephone_number": "610-647-1729",
            "fax_number": "610-647-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DARBY RD STE 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "19301",
            "telephone_number": "610-647-1729",
            "fax_number": "610-647-1728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 NE 125th St",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981254373",
            "country_code": "US",
            "telephone_number": "206-361-4745",
            "fax_number": "206-361-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2611 NE 125th St",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981254373",
            "country_code": "US",
            "telephone_number": "206-361-4745",
            "fax_number": "206-361-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60622615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01687406",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275992877",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Bennett, PA
• Maryann Bentley
• Corinne Benzinger
• Jessica Beresky
• Joyce Berkowitz
• John Berns, LPC
• Emily B Bernstein, MD
• Beth a Handwerger MD
• Louis Bevilacqua, PSYD
• Jacob Bezalel

• Physical Therapist in Paoli, PA
• Providers in Paoli, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.