Active NPI
Jessica Nicole Nielson, DPT, PT, CSCS
- Physical Therapist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045335
- Practice address
- 450 7TH Ave Ste 1800
New York, NY 10123-1892 - Phone
- (646) 518-5555
- NPI assigned
- Dec 4, 2019
- 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 | 045335 | NY | Primary |
Addresses
Primary practice location
450 7TH Ave Ste 1800
New York, NY 10123-1892
Mailing address
450 7TH Ave Ste 1800
New York, NY 10123-1892
Phone (646) 518-5555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jnielson@spearcenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191224000118 | NY | Practitioner - Physical Therapist in Private Practice | 0648604728 | Reassigns benefits to 1 organization |
| I20230712004427 | NJ | Practitioner - Physical Therapist in Private Practice | 0648604728 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York University School of Medicine, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- 5 Point Physical Therapy and Wellness LLC5 Point Physical Therapy PLLC
Practice addresses (Care Compare)
318 Main St
Suite 200a
Millburn, NJ 07041-1181
Phone (973) 671-5855
37 W 20TH St
Suite 607
New York, NY 10011-3718
Phone (212) 226-2066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward J. Gorecki, DC, PLLC | Current | Accepting new patients | |
| 5 Point Physical Therapy and Wellness LLC | Current | Accepting new patients | |
| 5 Point Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Katherine V Pace KVP Concierge Therapy | Physical Therapist | Current | Accepting new patients |
| Rise PT OT Speech Nutrition PLLC | Physical Therapist | Past | Accepting new patients |
Locations
318 Main St
Ste 200A
Millburn, NJ 07041
Phone (973) 544-8381
189 Elm St
Westfield, NJ 07090
Phone (908) 233-5500
37 W 20th St
Ste 607
New York, NY 10011
Phone (212) 226-2066
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1275812406
NY, Physical Therapist
-
- Orthopedic Physical Therapist
- Millburn, NJ
- NPI 1992323489
NJ
-
- Physical Therapy Clinic/Center
- Westfield, NJ
- NPI 1326639543
NJ, Physical Therapist
-
- Chiropractor
- New York, NY
- NPI 1871729012
-
- Physical Therapist
- New York, NY
- NPI 1427949379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1326685751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 7TH AVE STE 1800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101231892",
"telephone_number": "646-518-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 7TH AVE STE 1800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101231892",
"telephone_number": "646-518-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSON",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "DPT, PT, CSCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jnielson@spearcenter.com",
"affiliation": "N",
"endpointDescription": "Work e-mail",
"address_1": "450 7th Ave Ste 1800",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "101231892",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.