Jennifer A Skeesick, DPT, SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6348 Issued in SC

Practice address

103 N Main St
Ste 99
Greenville, SC 29601-2796

Phone

(864) 528-5728

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer A Moody Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.skeesick.1@31414.direct.athenahealth.com

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.

• Therapeutic Associates Inc

  dba TAI SE Boise

  • Physical Therapist
  • Boise, ID
  • NPI 1487630240
  Medicare reassignment Care Compare group NPD
• Therapeutic Associates Inc

  dba TAI - Rock Creek

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  dba TAI - NW Boise Physical Therapy

  • Physical Therapist
  • Boise, ID
  • NPI 1891402335
  NPD
• Greenville Proaxis Therapy, LLC

  dba ATI Physical Therapy of Greenville

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  NPD (past)
• Proaxis Therapy SC, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Myrtle Beach, SC
  • NPI 1881967024
  NPD (past)
• Proaxis Therapy NC, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Belmont, NC
  • NPI 1275972135
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1457414609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 LOMBARD LOOP RD",
            "city": "WAPATO",
            "state": "WA",
            "postal_code": "989519685",
            "telephone_number": "334-750-9174",
            "fax_number": "864-528-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "address_2": "STE 99",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012796",
            "telephone_number": "864-528-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEESICK",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "11773",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MOODY",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Cameron Sivils, MD
• Jack B Sizemore, PA
• Jessica Renee Sizemore, DPT
• Mickey Travis Sizemore, D.C.
• Ajith A Skariah
• Jamie Dobbins Skellie, CRNA
• Bryson Miles Skelton, CSFA
• Debra Green Skelton, RPTA
• Shane David Skiles, CRNA
• Skin Solution to Massage

• Physical Therapist in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.