Jessica Marie Addington, PT, DPT
Individual provider Active NPI Physical Therapist · Viroqua, WI
NPI 1508255472 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1508255472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 12308-24 (WI)
- Practice address
- 507 S Main St
Physical Therapy Department
Viroqua, WI 54665-2059 - Phone
- (608) 637-4385
- Fax
- (608) 637-4382
- NPI assigned
- Jan 15, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12308-24 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12308-24 | WI | Yes |
Addresses
Primary practice location
507 S Main St
Physical Therapy Department
Viroqua, WI 54665-2059
Mailing address
507 S Main St
Physical Therapy Department
Viroqua, WI 54665-2059
Phone (608) 637-4385
Other providers in Viroqua, WI
- Aaa Family Homes LLC
- Abundant Tree LLC
- Adam Thomas Ackerman
- Aligned for Health Chiropractic, S.C.
- Gabrielle Lee Ames
- Bonnie Lynn Anderson
- Diedre Lynn Armstrong
- Michael Jacob Ayers
All providers in Viroqua, WI · Physical Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.