Individual provider Active NPI

Jessica Marie Sposato, DPT

  • Physical Therapist
  • Crofton, MD
National Provider Identifier
1316772494
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42321 Issued in FL
Practice address
2138 Priest Bridge CT Ste 7
Crofton, MD 21114-2463
Phone
(410) 721-6333
NPI assigned
Sep 6, 2024
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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 42321 FL Primary

Addresses

Primary practice location

2138 Priest Bridge CT Ste 7
Crofton, MD 21114-2463

Mailing address

2011 Gov Thomas Bladen Way Apt 303
Annapolis, MD 21401-6971
Phone (410) 487-5178

Other practice location 1

11555 Central Pkwy Ste 202
Jacksonville, FL 32224-2693
Phone (904) 296-4140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241231000581 MD Practitioner - Physical Therapist in Private Practice 6709313828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakaway Physical Therapy, LLCGroup PAC ID 8123330222, 5 clinicians

Practice addresses (Care Compare)

2138 Priest Bridge CT
Suite 7
Crofton, MD 21114-2463
Phone (410) 721-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42321FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Body Physical Therapy Inc CurrentSince Jun 15, 2025 Accepting new patients
Smart Body Physical Therapy Inc Physical Therapist CurrentSince Dec 5, 2024 Accepting new patients
Breakaway Physical Therapy, LLC Physical Therapist CurrentSince Dec 17, 2024 Accepting new patients

Locations

11555 Central Pkwy
Ste 202
Jacksonville, FL 32224
Phone (904) 296-4140

2138 Priest Bridge Ct
Ste 7
Crofton, MD 21114
Phone (301) 807-8972

Organizations & group practices 4

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1316772494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 GOV THOMAS BLADEN WAY APT 303",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016971",
            "telephone_number": "410-487-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 PRIEST BRIDGE CT STE 7",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142463",
            "telephone_number": "410-721-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11555 Central Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322242693",
            "country_code": "US",
            "telephone_number": "904-296-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOSATO",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "42321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.

Verify at the official NPI Registry.