Individual provider Active NPI

Jessika Litke Gardner, P.T.

  • Orthopedic Physical Therapist
  • Arlington, TX
National Provider Identifier
1578723219
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1148268 Issued in TX
Practice address
800 Orthopedic Way
Arlington, TX 76015-1629
Phone
(817) 375-5200
Fax
(817) 299-1795
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1148268 TX Primary

Addresses

Primary practice location

800 Orthopedic Way
Arlington, TX 76015-1629

Mailing address

PO Box 120489
Arlington, TX 76012-0489
Phone (817) 375-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000703 TX Practitioner - Physical Therapist in Private Practice 4587849567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotx PLLCGroup PAC ID 9739161704, 83 clinicians

Practice addresses (Care Compare)

650 Hwy 287 N
Suite 160 Arlington Or
Mansfield, TX 76063-6876
Phone (817) 375-5200

800 Orthopedic Way
Dba Arlington Ortho
Arlington, TX 76015-1629
Phone (817) 375-5200

Merit-based Incentive Payment System (MIPS)

Final score
89.4 of 100Reported as group
Quality
77.91
Promoting interoperability
100
Improvement activities
40
Cost
86.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jessika.gardner.1@15749.direct.athenahealth.com

Organizations & group practices 1

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1578723219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120489",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760120489",
            "telephone_number": "817-375-5200",
            "fax_number": "817-299-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ORTHOPEDIC WAY",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760151629",
            "telephone_number": "817-375-5200",
            "fax_number": "817-299-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "JESSIKA",
        "middle_name": "LITKE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1148268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.