Individual provider Active NPI

Jessica Hiestand

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1427690015
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61088902 Issued in WA
Practice address
5320 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80918-3839
Phone
(719) 592-1584
NPI assigned
Oct 15, 2019
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0016676 CO
Physical Therapist 225100000X PT61088902 WA Primary

Addresses

Primary practice location

5320 Mark Dabling Blvd Ste 100
Colorado Springs, CO 80918-3839

Mailing address

6161 Glacier PL
Ferndale, WA 98248-8321
Phone (360) 393-8039

Other practice location 1

110 N Laventure Rd Ste A
Mount Vernon, WA 98273-3901
Phone (360) 428-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210125002314 WA Practitioner - Physical Therapist in Private Practice 9537573068 Reassigns benefits to 1 organization

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
Hidef Seattle,LLCGroup PAC ID 1850775917, 22 clinicians

Practice addresses (Care Compare)

2211 5TH Ave
Seattle, WA 98121-4034
Phone (206) 693-9929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016676COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hidef Seattle,LLC CurrentSince Jun 23, 2025 Accepting new patients
American Current Care P.a. PastSince Oct 20, 2019 Accepting new patients
520 Physical Therapy, LLC Physical Therapist PastSince May 16, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist PastSince Nov 17, 2020 Accepting new patients

Locations

332 Burnett Ave S
Renton, WA 98057
Phone (206) 693-9929

2211 5th Ave
Seattle, WA 98121
Phone (206) 693-9929

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1427690015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 GLACIER PL",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488321",
            "telephone_number": "360-393-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MARK DABLING BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183839",
            "telephone_number": "719-592-1584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Laventure Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982733901",
            "country_code": "US",
            "telephone_number": "360-428-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIESTAND",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016676",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61088902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.