Individual provider Active NPI

Jessica Foster, D.P.T.

  • Physical Therapist
  • Pinellas Park, FL
National Provider Identifier
1639618390
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28946 Issued in FL
Practice address
6767 86TH Ave N
Pinellas Park, FL 33782-4597
Phone
(727) 548-5566
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 PT28946 FL Primary

Addresses

Primary practice location

6767 86TH Ave N
Pinellas Park, FL 33782-4597

Mailing address

637 Greenglen LN
Palm Harbor, FL 34684-3020
Phone (605) 858-8516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250513002847 AZ Practitioner - Physical Therapist in Private Practice 8426450354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Mountain Therapy LLCGroup PAC ID 0648797944, 7 clinicians

Practice addresses (Care Compare)

7370 E Gold Dust Ave
RM 212
Scottsdale, AZ 85258-1025
Phone (602) 816-3924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28946FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Mountain Therapy LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients

Locations

7370 E Gold Dust Ave
Rm 212
Scottsdale, AZ 85258
Phone (602) 816-3924

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1639618390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 GREENGLEN LN",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843020",
            "telephone_number": "605-858-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 86TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337824597",
            "telephone_number": "727-548-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JESSICA",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.