Individual provider Active NPI

Jessica Christel Rose Green

  • Physical Therapist
  • Damascus, MD
National Provider Identifier
1558056770
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29570 Issued in MD
Practice address
9815 Main St Ste 206
Damascus, MD 20872-2099
Phone
(301) 253-6761
Fax
(301) 253-6762
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29570 MD Primary

Addresses

Primary practice location

9815 Main St Ste 206
Damascus, MD 20872-2099

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925

Other practice location 1

3065 Park Ave
Manchester, MD 21102-1832
Phone (443) 797-3986

Other names 1

  • Jessica Becke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231102001483 MD Practitioner - Physical Therapist in Private Practice 3577919133 Reassigns benefits to 1 organization
I20231114000134 DC Practitioner - Physical Therapist in Private Practice 3577919133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Sportscare and Rehab LLCGroup PAC ID 2860440427, 166 clinicians

Practice addresses (Care Compare)

9815 Main St
Suite 206
Damascus, MD 20872-2099
Phone (301) 253-6761

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29570MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Sep 3, 2023 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Sep 3, 2023 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1558056770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 MAIN ST STE 206",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208722099",
            "telephone_number": "301-253-6761",
            "fax_number": "301-253-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "MD",
            "postal_code": "211021832",
            "country_code": "US",
            "telephone_number": "443-797-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JESSICA",
        "middle_name": "CHRISTEL ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BECKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Damascus, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; 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.