Individual provider Active NPI

Jessica Leigh Scola

  • Physical Therapist
  • Collingswood, NJ
National Provider Identifier
1679946537
Registry record updated Nov 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01574400 Issued in NJ
Practice address
208 W Wayne Ter
Apt 18C
Collingswood, NJ 08108-2946
Phone
(856) 912-1676
NPI assigned
Nov 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2015

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 40QA01574400 NJ Primary

Addresses

Primary practice location

208 W Wayne Ter
Apt 18C
Collingswood, NJ 08108-2946

Mailing address

208 W Wayne Ter
Apt 18C
Collingswood, NJ 08108-2946
Phone (856) 912-1676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Therapy Services Past Accepting new patients

Organizations & group practices 1

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": "1446336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446336000000",
    "number": "1679946537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W WAYNE TER",
            "address_2": "APT 18C",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082946",
            "telephone_number": "856-912-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W WAYNE TER",
            "address_2": "APT 18C",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082946",
            "telephone_number": "856-912-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLA",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01574400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.