Jessica Marie Tarwater, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0447631 Issued in NY

Practice address

20053 Summit View Blvd
Suite 2
Watertown, NY 13601

Phone

(315) 681-4187

Fax

(315) 661-6068

NPI assigned

Aug 26, 2019

Last updated

Mar 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Marie Richards Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Physical Therapy Solutions PCGroup PAC ID 5698728004, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.94 of 100Reported as group

Quality

88.68

Improvement activities

40

Cost

61.57

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innovative Physical Therapy Solutions PC

  • Physical Medicine & Rehabilitation Physician
  • Watertown, NY
  • NPI 1891741302

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Warner Physical Therapy PC

  • Physical Therapist
  • Oswego, NY
  • NPI 1235150392
  Medicare reassignment NPD

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1457908394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD",
            "address_2": "SUITE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-681-4187",
            "fax_number": "315-661-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20053 SUMMIT VIEW BLVD",
            "address_2": "SUITE 2",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-681-4187",
            "fax_number": "315-661-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "364 East Ave",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131266148",
            "country_code": "US",
            "telephone_number": "315-326-0056",
            "fax_number": "315-326-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARWATER",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0447631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warnerpt@protonmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OSWEGO",
            "address_1": "364 East Ave",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131266148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "RICHARDS",
            "middle_name": "MARIE",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria Taft
• Amber Rae Taimouri
• Boun Geck Taing, MD
• Patricia A Tarbox-Ryan, LCSW R
• Jeremy Tarwater
• Jessica Taylor, RN
• Rennia Lyn Taylor, LPN
• Jenelle Spaulding Ten Eyck, M.S. CCC-SLP
• Sharon Tenney, NP
• Noemi Terrado, LPN

• Physical Therapist in Watertown, NY
• Providers in Watertown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.