Jessie Lee Ralston, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40235 Issued in FL

Practice address

212 Retreat VLG
Saint Simons Island, GA 31522-2403

Phone

(912) 638-1444

Fax

(912) 638-0077

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Advance Rehabilitation & Consulting Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Jasper, GA
  • NPI 1164115671

  Physical Therapist

  NPD (past)
• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1659002228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RETREAT VLG",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222403",
            "telephone_number": "912-638-1444",
            "fax_number": "912-638-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4008 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741356017",
            "country_code": "US",
            "telephone_number": "918-622-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "JESSIE",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP017798T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6225",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Pinell, MD
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• Plantation Dental Associates (Dr Jack H Melton)
• Cali Ann Pushee, PT, DPT
• Aubrie Lynn Reedy
• Barbara Kast Reighard, D.D.S.
• Nancy Vance Richardson, CCC-SLP
• Allyn D Robb Jr., LPC
• Robert D Millican OD PC

• Physical Therapist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.