Active NPI
Jessica Hollock-Sinclair, MS, PT
- Physical Therapist
- Kingston, PA
National Provider Identifier
1285863456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019202
- Practice address
- 311 Market St
Kingston, PA 18704-5428 - Phone
- (570) 711-8093
- Fax
- (570) 718-0938
- NPI assigned
- Jul 9, 2009
- Last updated
- Jul 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019202 | PA | Primary |
Addresses
Primary practice location
311 Market St
Kingston, PA 18704-5428
Mailing address
520 Philadelphia Street
Indiana, PA 15701
Phone (724) 463-7478
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019202 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axiomhealth Management LLC | Physical Therapist | Past | Accepting new patients |
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.
-
dba EdemaCare
- Rehabilitation Clinic/Center
- Altamonte Springs, FL
- NPI 1912456799
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247097600000",
"number": "1285863456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 PHILADELPHIA STREET",
"city": "INDIANA",
"state": "PA",
"postal_code": "15701",
"telephone_number": "724-463-7478",
"fax_number": "724-463-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MARKET ST",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045428",
"telephone_number": "570-711-8093",
"fax_number": "570-718-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOCK-SINCLAIR",
"first_name": "JESSICA",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.