Individual provider Active NPI

Jessica Craighead

  • Physical Therapist
  • Flourtown, PA
National Provider Identifier
1679465017
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 18, 2025

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 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 IDStateProvider typePAC IDDetails
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 430 clinicians

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

OrganizationSpecialtyStatusNew patients
Wallace & Nilan Physical Therapy and Fitness, LLC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 11, 2025 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.

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.

Verify at the official NPI Registry.