Jessa Susan Miller, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0215191 Issued in NY

Practice address

240 Oconnor St
Wellsville, NY 14895-1055

Phone

(585) 593-5700

Fax

(585) 593-4529

NPI assigned

Dec 26, 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 names 1

• Jessa Susan Hodge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376608760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "address_2": "3931 COTTAGE BRIDGE RD",
            "city": "SCIO",
            "state": "NY",
            "postal_code": "14880",
            "telephone_number": "585-593-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 OCONNOR ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951055",
            "telephone_number": "585-593-5700",
            "fax_number": "585-593-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JESSA",
        "middle_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0215191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSA",
            "last_name": "HODGE",
            "middle_name": "SUSAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari McCaa
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• Shauna Lynne McConnell, RN
• Alicia Jo McInroy, CPNP-PC
• Megan Elizabeth Mendelson
• Becki J Mills, LPN
• Jason Matthew Monahan, PMHNP
• Michelle Monahan
• Brenda Marie Mong-Szabo, DPT
• Shannon M Mooney, PAC

• Physical Therapist in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Physical Therapist in New York

• 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.