Active NPI
Jessica Marie Palascak, PTA
- Physical Therapy Assistant
- Cranberry TWP, PA
National Provider Identifier
1598248783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TEO11836
- Practice address
- 1187 Freedom Rd Ste C101
Cranberry TWP, PA 16066-4964 - Phone
- (724) 590-0494
- Fax
- (724) 591-5772
- NPI assigned
- Sep 13, 2018
- Last updated
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TEO11836 | PA | Primary |
Addresses
Primary practice location
1187 Freedom Rd Ste C101
Cranberry TWP, PA 16066-4964
Mailing address
408 Woodcock Dr
Cranberry TWP, PA 16066-7426
Phone (412) 389-1790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEO11836 | PA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Physical Therapy LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Cranberry Township, PA
- NPI 1770893588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1598248783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WOODCOCK DR",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160667426",
"telephone_number": "412-389-1790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1187 FREEDOM RD STE C101",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160664964",
"telephone_number": "724-590-0494",
"fax_number": "724-591-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALASCAK",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TEO11836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranberry TWP, PA
- Lindsay Marie Olyha, CRNP
- Olympic Corporation
- Optimal Physical Therapy and Sports Performance LLC
- Orthopedic & Sports Physical Therapy Associates, Inc
- Jennie Nicole Pabst
- Palliative Care Associates, LLC (Palliative Care Associates of Pittsburgh)
- Haven Michelle Panozo, M.A.
- Julie Kay Panzeri, LPC
- Keith F Parry, RPH
- Katherine Patrizi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.