Individual provider Active NPI

Jessica Joy Heary, DPT

  • Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1679087829
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294034 Issued in CA
Practice address
2222 Francisco Dr Ste 120
El Dorado Hills, CA 95762-3763
Phone
(916) 235-4071
Fax
(209) 222-6182
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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 294034 CA Primary

Addresses

Primary practice location

2222 Francisco Dr Ste 120
El Dorado Hills, CA 95762-3763

Mailing address

1518 Coffee Rd Ste I
Modesto, CA 95355-3164
Phone (209) 576-0888

Other names 1

  • Dr. Jessica Joy Tom Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116001110 CA Practitioner - Physical Therapist in Private Practice 8325307515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294034CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
El Dorado Physical Therapy, Inc Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Physiomotion Physical Therapy, Inc. Physical Therapist PastSince Aug 8, 2016 Accepting new patients
Silver Creek Fitness and Physical Therapy Physical Therapist PastSince Nov 3, 2017 Accepting new patients

Locations

2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071

907 Embarcadero Dr
El Dorado Hills, CA 95762
Phone (916) 355-1250

990 Riley St
Folsom, CA 95630
Phone (916) 335-1250

4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

1518 Coffee Rd
Ste I
Modesto, CA 95355

Organizations & group practices 4

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": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1679087829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COFFEE RD STE I",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553164",
            "telephone_number": "209-576-0888",
            "fax_number": "209-576-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 FRANCISCO DR STE 120",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623763",
            "telephone_number": "916-235-4071",
            "fax_number": "209-222-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARY",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "TOM",
            "middle_name": "JOY",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.