Individual provider Active NPI

Jessica Hart, PT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1649729468
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305210504 Issued in VA
Practice address
407 E Canal St
Richmond, VA 23219-3811
Phone
(804) 840-0845
Fax
(804) 980-7734
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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 2305210504 VA Primary

Addresses

Primary practice location

407 E Canal St
Richmond, VA 23219-3811

Mailing address

407 E Canal St
Richmond, VA 23219-3811
Phone (804) 840-0845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109000510 VA Practitioner - Physical Therapist in Private Practice 2163701467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Solutions Limited PartnershipGroup PAC ID 6204154909, 24 clinicians

Practice addresses (Care Compare)

407 E Canal St
Richmond, VA 23219-3811
Phone (804) 840-0845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions Limited Partnership Physical Therapist CurrentSince Sep 30, 2016 Accepting new patients

Locations

8201 Atlee Rd
Ste D
Mechanicsvlle, VA 23116
Phone (804) 569-1787

407 E Canal St
Richmond, VA 23219
Phone (804) 840-0845

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": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1649729468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CANAL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193811",
            "telephone_number": "804-840-0845",
            "fax_number": "804-980-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CANAL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193811",
            "telephone_number": "804-840-0845",
            "fax_number": "804-980-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.