Active NPI
Jessica Lynne Brown, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1306934773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- NCP9297
- Practice address
- 4245 Roosevelt Way N.E. W220
Uw Medical Center
Seattle, WA 98105 - Phone
- (206) 598-2888
- NPI assigned
- Oct 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NCP9297 | NC | Primary |
| Occupational Therapist | 225X00000X | NCP9297 | NC | |
| Speech-Language Pathologist | 235Z00000X | NCP9297 | NC |
Addresses
Primary practice location
4245 Roosevelt Way N.E. W220
Uw Medical Center
Seattle, WA 98105
Mailing address
4245 Roosevelt Way N.E. W220
Uw Medical Center
Seattle, WA 98105
Phone (206) 598-2888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211634 | Medicaid | NC |
Other names 1
- Ms. Jessica Lynne Digiacomo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 Edmonds St
Edmonds, WA 98020-5094
Phone (425) 200-4421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCP9297 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Refined Physio PLLC | Physical Therapist | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1306934773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY N.E. W220",
"address_2": "UW MEDICAL CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-598-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY N.E. W220",
"address_2": "UW MEDICAL CENTER",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-598-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JESSICA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "NCP9297",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "NCP9297",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "NCP9297",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211634",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DIGIACOMO",
"middle_name": "LYNNE",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.