Individual provider Active NPI

Jessika Jones

  • Physical Therapist
  • Biloxi, MS
National Provider Identifier
1407372915
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6200 Issued in MS
Practice address
2541 Pass Rd Ste F
Biloxi, MS 39531-2112
Phone
(228) 388-1002
NPI assigned
Aug 16, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6200 MS Primary

Addresses

Primary practice location

2541 Pass Rd Ste F
Biloxi, MS 39531-2112

Mailing address

6300 E Lake Blvd
Ste 301
Vancleave, MS 39565-6771

Other practice location 1

5107 Beatline Rd Ste 300
Long Beach, MS 39560-3874
Phone (228) 575-8429

Other practice location 2

334 Courthouse Rd
Gulfport, MS 39507-1807
Phone (228) 896-1189

Other identifiers 2

IdentifierTypeStateIssuer
09015077MedicaidMS
1033218524OtherMSGROUP NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026001534 MS Practitioner - Physical Therapist in Private Practice 4880960475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Rehabilitation Services, LLCGroup PAC ID 6103138326, 6 clinicians

Practice addresses (Care Compare)

2107 A Bienville Blvd
Suite C
Ocean Springs, MS 39564-3001
Phone (228) 280-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Aug 14, 2017 Accepting new patients
Dynamic Rehabilitation Services LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Aug 14, 2017 Accepting new patients
Physical Therapy Center of Ocean Springs, LLC Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

2541 Pass Rd
Ste F
Biloxi, MS 39531
Phone (228) 388-1002

4016 Cassimer Ave
Diberville, MS 39540
Phone (228) 280-8120

4016 Cassimer Ave
Ste C
Diberville, MS 39540

334 Courthouse Rd
Gulfport, MS 39507
Phone (228) 896-1189

433 Main St
Leakesville, MS 39451
Phone (601) 394-4545

5107 Beatline Rd
Ste 300
Long Beach, MS 39560
Phone (228) 424-0806

900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407372915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD",
            "address_2": "STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 PASS RD STE F",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312112",
            "telephone_number": "228-388-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5107 Beatline Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "MS",
            "postal_code": "395603874",
            "country_code": "US",
            "telephone_number": "228-575-8429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "334 Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395071807",
            "country_code": "US",
            "telephone_number": "228-896-1189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1033218524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.