Jessica Clancey-Sodini

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29929 Issued in FL

Practice address

121 Cranberry Rd
Grove City, PA 16127-4629

Phone

(724) 458-9473

Fax

(724) 458-1626

NPI assigned

Apr 24, 2015

Last updated

Feb 1, 2018By 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 2

Addresses

Other names 1

• Miss Jessica Clancey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Kuzma Physical Therapy and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Waterford, PA
  • NPI 1366081168

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1376930529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 13TH AVE S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505024",
            "telephone_number": "904-853-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CRANBERRY RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274629",
            "telephone_number": "724-458-9473",
            "fax_number": "724-458-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCEY-SODINI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018339",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CLANCEY",
            "prefix": "MISS",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ji Hye Chung Charlton, M.D.
• Childen's Community Care (Children's Community Pediatrics)
• James Devon Clark, PHARMD
• Click Family Chiropractic, LLC
• Benna Marguarita Click, D.C.
• Joshua Wayne Click, D.C.
• Melinda Collmus

• Physical Therapist in Grove City, PA
• Providers in Grove City, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.