Jessica N Jurasevich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05015300A Issued in IN

Practice address

11854 Allisonville Rd Ste F
Fishers, IN 46038-2312

Phone

(317) 845-9628

Fax

(317) 845-9740

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica N Haverstock Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Monticello, IN
  • NPI 1356971295

  IN

  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Noblesville, IN
  • NPI 1659018265

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD
• Physiotherapy Associates Inc

  • Rehabilitation Clinic/Center
  • Fishers, IN
  • NPI 1710079744
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1659906246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 GOLDEN HINDE WAY",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460626980",
            "telephone_number": "219-671-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11854 ALLISONVILLE RD STE F",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382312",
            "telephone_number": "317-845-9628",
            "fax_number": "317-845-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURASEVICH",
        "first_name": "JESSICA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015300A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HAVERSTOCK",
            "middle_name": "N",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jordyn Ackerman LLC
• Sanjay Ashokkumar Joshi, RPH.
• Betsy Ann Joyce, CPNP
• Julie Korte
• Jung Yeop Jun, PYSICAL THERAPIST
• Just Like Family-Private Care Management Corp.
• Sunil J Juthani, MD
• K.C. Schneider D.D.S. P.C.
• Kaba Cares Transportation LLC
• Moussa Kaba

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.