Jessica Simon Jimenez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07745 Issued in LA

Practice address

753 Odd Fellows Rd Unit H-1
Crowley, LA 70526-2200

Phone

(337) 788-1480

Fax

(337) 788-0354

NPI assigned

Nov 10, 2009

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parish Physical Therapy, LLCGroup PAC ID 0042632531, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Parish Physical Therapy, LLC

  • Physical Therapist
  • Scott, LA
  • NPI 1083243513
  Medicare reassignment Care Compare group NPD Authorized official
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Slidell, LA
  • NPI 1033179825
  NPD (past)

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1477880656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 THOMAS OAK DR",
            "city": "CHURCH POINT",
            "state": "LA",
            "postal_code": "705255916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 ODD FELLOWS RD UNIT H-1",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262200",
            "telephone_number": "337-788-1480",
            "fax_number": "337-788-0354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Cameron St",
            "address_purpose": "LOCATION",
            "city": "Scott",
            "state": "LA",
            "postal_code": "705835144",
            "country_code": "US",
            "telephone_number": "337-523-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "JESSICA",
        "middle_name": "SIMON",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-10",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jade F Fontenot DDS LLC
• Joe Ben Holden M.D., LLC
• Joe Ben Holden M.D., LLC
• John Casanova Advanced Hearing and Vision
• Marlonara D Johnson
• Rylie Johnson, PLPC, PLMFT

• Physical Therapist in Crowley, LA
• Providers in Crowley, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.