Individual provider Active NPI

Jessica Frishberg Fuchs

  • Physical Therapist
  • Dunwoody, GA
National Provider Identifier
1437178167
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2015028093 Issued in MO
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

Updated by the provider on Dec 2, 2015

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 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

IdentifierTypeStateIssuer
P00263716OtherSCMEDICARE RAILROAD NUMBER
943423122OtherSCINSURANCE PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Babar Enterprises LLC Physical Therapist CurrentSince Nov 10, 2015 Accepting new patients
Babar Enterprises LLC Physical Therapist PastSince Nov 10, 2015 Accepting new patients
Sports Spine & Industrial, Inc. Physical Therapist PastSince Jun 3, 2002 Accepting new patients
Elite Integrated Therapy Centers, LLC Physical Therapist PastSince Nov 1, 2021 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.

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.

Verify at the official NPI Registry.