Individual provider Active NPI

Jessica M Thomas, DPT

  • Physical Therapist
  • Boardman, OH
National Provider Identifier
1417484593
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016859 Issued in OH
Practice address
813 Boardman Poland Rd Ste 12B
Boardman, OH 44512-5104
Phone
(330) 729-9448
Fax
(330) 729-9450
NPI assigned
May 19, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT016859 OH Primary

Addresses

Primary practice location

813 Boardman Poland Rd Ste 12B
Boardman, OH 44512-5104

Mailing address

813 Boardman Poland Rd Ste 12B
Boardman, OH 44512-5104
Phone (330) 729-9448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180111000285 PA Practitioner - Physical Therapist in Private Practice 8628345287 Reassigns benefits to 2 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
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

1122 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (877) 407-3422

470 N Lewis Rd
Bon Homie LTD Adult Day Center
Limerick, PA 19468-1511
Phone (610) 792-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9103SCMDProfessional Counselor
PT016859OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Nov 28, 2017 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Nov 28, 2017 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

7 Carnegie Plz
Cherry Hill, NJ 08003

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

813 Boardman Poland Rd
Ste 12B
Boardman, OH 44512
Phone (330) 729-9448

470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800

781 Far Hills Dr
Ste 400
New Freedom, PA 17349
Phone (717) 235-9890

1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417484593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 BOARDMAN POLAND RD STE 12B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125104",
            "telephone_number": "330-729-9448",
            "fax_number": "330-729-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 BOARDMAN POLAND RD STE 12B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125104",
            "telephone_number": "330-729-9448",
            "fax_number": "330-729-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.