Jessica Rennie Alexander, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0400002533 Issued in VT

Practice address

150 Kennedy Dr
Hoeppner PT
South Burlington, VT 05403

Phone

(802) 862-4670

Fax

(802) 862-4670

NPI assigned

Jun 14, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Champlain Medical Associates PLLC

  • Family Medicine Physician
  • S Burlington, VT
  • NPI 1013273697
  NPD
• Leclair Therapy, Inc.

  • Physical Therapist
  • Essex JCT, VT
  • NPI 1821002189
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366485666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BARBER FARM RD",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "05465",
            "telephone_number": "802-899-3726",
            "fax_number": "802-899-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "address_2": "HOEPPNER PT",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-4670",
            "fax_number": "802-862-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JESSICA",
        "middle_name": "RENNIE",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200050420",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN2099",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "566686900",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aim Healthcare Providers VT, LLC
• Dorothy A Aitken, SLP- CCC
• Phil Allen Aitken, M.D.
• Ellen R Albertson, ELLEN ALBERTSON
• Jeffrey Scott Albertson, DPT
• Stuart A Alexander, MD
• Christina Allen, LICSW
• Cynthia Barbara Almonte, PT
• Susan Carol Alnasrawi, LCMHC
• Julie Ann Alosi, MD

• All providers in South Burlington, VT
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.