Individual provider Active NPI

Jessica Lee Noyes, PT

  • Physical Therapist
  • Pasadena, MD
National Provider Identifier
1427674159
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27937 Issued in MD
Practice address
31 Magothy Beach Rd Ste 105
Pasadena, MD 21122-4423
Phone
(410) 437-3333
Fax
(410) 437-4042
NPI assigned
Jun 18, 2020
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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 27937 MD Primary

Addresses

Primary practice location

31 Magothy Beach Rd Ste 105
Pasadena, MD 21122-4423

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other names 1

  • Jessica Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200901000716 DC Practitioner - Physical Therapist in Private Practice 7719304054 Reassigns benefits to 1 organization
I20200901000779 MD Practitioner - Physical Therapist in Private Practice 7719304054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen Burnie Physical Therapy and Sportscare LLCGroup PAC ID 0042102592, 25 clinicians
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

31 Magothy Beach Rd
Suite 105
Pasadena, MD 21122-4423
Phone (410) 437-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

5500 Knoll North Dr
Ste 150
Columbia, MD 21045
Phone (443) 542-0062

14700 Baltimore Ave
Unit 106
Laurel, MD 20707
Phone (240) 754-2203

31 Magothy Beach Rd
Ste 105
Pasadena, MD 21122
Phone (410) 437-3333

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 3

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1427674159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NEW FIDELITY CT",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292665",
            "telephone_number": "919-258-2714",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAGOTHY BEACH RD STE 105",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211224423",
            "telephone_number": "410-437-3333",
            "fax_number": "410-437-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYES",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.