Active NPI
Jessica Frishberg Fuchs
- Physical Therapist
- Dunwoody, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2015028093
- Practice address
- 5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106 - Phone
- (770) 551-9633
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2015028093 | MO | Primary |
Addresses
Primary practice location
5513 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4106
Mailing address
4800 Mexico Rd 104
Saint Peters, MO 63376-1666
Phone (636) 939-9540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00263716 | Other | SC | MEDICARE RAILROAD NUMBER |
| 943423122 | Other | SC | INSURANCE PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151218000148 | MO | Practitioner - Physical Therapist in Private Practice | 1153358262 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Babar Enterprises LLC
Practice addresses (Care Compare)
4800 Mexico Rd
Suite 104
Saint Peters, MO 63376-1666
Phone (636) 928-4199
605 E Booneslick Rd
Suite 3
Warrenton, MO 63383-2127
Phone (636) 456-6350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babar Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Babar Enterprises LLC | Physical Therapist | Past | Accepting new patients |
| Sports Spine & Industrial, Inc. | Physical Therapist | Past | Accepting new patients |
| Elite Integrated Therapy Centers, LLC | Physical Therapist | Past | Accepting new patients |
| Atlanta Knee and Shoulder Clinic PC | Past | Accepting new patients |
Locations
713 N New Ballas Rd
Saint Louis, MO 63141
Phone (314) 991-0480
4625 Lindell Blvd
Ste 510
Saint Louis, MO 63108
Phone (314) 367-7450
4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625
605 E Booneslick Rd
Ste 3
Warrenton, MO 63383
Phone (636) 456-6350
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Stockbridge, GA
- NPI 1538296678
-
- Physical Therapist
- Warrenton, MO
- NPI 1548425002
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
-
- Physical Therapist
- Greer, SC
- NPI 1093748121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1437178167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 MEXICO RD 104",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761666",
"telephone_number": "636-939-9540",
"fax_number": "636-939-9886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5513 CHAMBLEE DUNWOODY RD",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303384106",
"telephone_number": "770-551-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUCHS",
"first_name": "JESSICA",
"middle_name": "FRISHBERG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2015028093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD NUMBER",
"identifier": "P00263716",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE PROVIDER NUMBER",
"identifier": "943423122",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunwoody, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.