Jessica Marie Miskovich, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7968 Issued in MN

Practice address

16015 Badavinac Road
Pengilly, MN 55775-0307

Phone

(218) 259-9862

NPI assigned

Dec 1, 2008

Last updated

Nov 1, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pokegama Physical Therapy Consultants, LLC

  • Physical Therapist
  • Grand Rapids, MN
  • NPI 1497947600
  NPD (past)
• Pokegama Physical Therapy, LLC

  • Physical Therapist
  • Grand Rapids, MN
  • NPI 1487980488
  NPD (past)

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1336394659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "PENGILLY",
            "state": "MN",
            "postal_code": "557750307",
            "telephone_number": "218-259-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16015 BADAVINAC ROAD",
            "city": "PENGILLY",
            "state": "MN",
            "postal_code": "557750307",
            "telephone_number": "218-259-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKOVICH",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Estey-Swick, RN
• Up North HHC Service Corporation
• Sarah Ann Zimmerman

• Physical Therapist in Pengilly, MN
• Providers in Pengilly, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.