Active NPI
Jessica Craighead
- Physical Therapist
- Flourtown, PA
National Provider Identifier
1679465017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1600 Bethlehem Pike
Flourtown, PA 19031-2026 - Phone
- (215) 233-9677
- NPI assigned
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1600 Bethlehem Pike
Flourtown, PA 19031-2026
Mailing address
611 Gates St
Philadelphia, PA 19128-2512
Phone (267) 566-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912002675 | PA | Practitioner - Physical Therapist in Private Practice | 1951804160 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progress Physical Therapy LLC
Practice addresses (Care Compare)
1600 Bethlehem Pike
Flourtown, PA 19031-2026
Phone (215) 233-9677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace & Nilan Physical Therapy and Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Progress Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677
Organizations & group practices 2
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.
-
- Physical Therapist
- Philadelphia, PA
- NPI 1164851085
PA, Physical Therapist
-
- Physical Therapy Clinic/Center
- Flourtown, PA
- NPI 1417916016
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1679465017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 GATES ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282512",
"telephone_number": "267-566-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 BETHLEHEM PIKE",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "190312026",
"telephone_number": "215-233-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIGHEAD",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-18",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flourtown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.