Jessica Ann Stellaci, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23081 Issued in FL

Practice address

The Kidspot 410 10TH Ave W.
Palmetto, FL 34221

Phone

(941) 722-3582

Fax

(941) 729-8322

NPI assigned

Apr 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carmine Chioccariello PT PAGroup PAC ID 0749447969, 5 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.

• Carmine Chioccariello PT PA

  • Physical Therapist
  • Saint Petersburg, FL
  • NPI 1811106941
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1669697298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 ROCKROSE GLN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342022835",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE KIDSPOT 410 10TH AVE W.",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "34221",
            "telephone_number": "941-722-3582",
            "fax_number": "941-729-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLACI",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Montgomery Spencer, M.D.
• Jessica Spencer, EDD, CAP, CPP
• Spirit Filled Companion Care Helpers Inc
• Michele Stancil, OTRL
• Irena Stefan, APRN
• Stellar Advance Nursing Care
• Alexander Stephens Jr., APRN
• Jennifer Stephens
• Savannah Stevens
• Lauren Michele Sturnick

• Physical Therapist in Palmetto, FL
• Providers in Palmetto, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.