Jessica Basha, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

6944 Issued in AZ

Practice address

3403 E Main St # 208
Mesa, AZ 85213-8683

Phone

(480) 848-4281

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 1

Addresses

Other identifiers 1

Other names 1

• Jessica Klein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Basha Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Scottsdale, AZ
  • NPI 1720452543
  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": "1457395200000",
    "number": "1508929316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W RAY RD",
            "address_2": "#2082",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261372",
            "telephone_number": "402-321-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3403 E MAIN ST # 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852138683",
            "telephone_number": "480-848-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHA",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "6944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961632",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KLEIN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alice Joy Barton, LPC
• Tyler Barton, PHARMD
• Diane Theresa Bartsch, M.S.
• Baseline Pain Center, LLC
• Baseline Road Dental LLC
• Sheila R Basler Powell, OTR/L
• Jennifer Jay Bass, LM, CPM
• Mathew J Bassett, BHT
• Adam T. Bast, MA, CCC-SLP
• Sydney Basti

• Pediatric Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatric Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.