Jessica E Clayburgh, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01719 Issued in RI

Practice address

444 Angell St
Providence, RI 02906-4481

Phone

(401) 256-9159

NPI assigned

May 12, 2006

Last updated

Jan 9, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessica Clayburgh MSPT LLC

  • Physical Therapist
  • Providence, RI
  • NPI 1861965063
  Authorized official Same address or phone
• Bay State Physical Therapy PC

  • Physical Therapist
  • Attleboro, MA
  • NPI 1194387191
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1538110945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064481",
            "telephone_number": "401-256-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064481",
            "telephone_number": "401-256-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927B Warren Ave",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141423",
            "country_code": "US",
            "telephone_number": "401-438-0905",
            "fax_number": "401-438-0903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYBURGH",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15317",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Clarke, AU.D.
• Nicole Clarke
• Ronald E Clary Jr., D.C.
• Jessica Claus, MD
• Estefania Clavijo, LCSW
• Clear Space MH, LLC
• Clear Voice Therapy
• Jeffrey D Clement, MD
• Melissa Lynn Clement, MSW
• Regina Clement

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.