Individual provider Active NPI

Jessica Tye McLeod, PT

  • Physical Therapist
  • Sumter, SC
National Provider Identifier
1699086819
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5546 Issued in SC
Practice address
1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone
(803) 469-3213
Fax
(803) 469-3233
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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 5546 SC Primary

Addresses

Primary practice location

1185 Wilson Hall Rd
Sumter, SC 29150-1842

Mailing address

1185 Wilson Hall Rd
Sumter, SC 29150-1842
Phone (803) 469-3213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818001311 SC Practitioner - Physical Therapist in Private Practice 0446384986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Physical Therapy LLCGroup PAC ID 6709231061, 2 clinicians

Practice addresses (Care Compare)

540 Bultman Dr
Suite 3
Sumter, SC 29150-2592
Phone (803) 883-6876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5546SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy LLC Physical Therapist CurrentSince Jan 2, 2025 Accepting new patients
McLeod Health Clarendon PastSince May 28, 2010 Accepting new patients

Locations

1165 Broad St
Sumter, SC 29150
Phone (803) 305-5956

540 Bultman Dr
Ste 3
Sumter, SC 29150
Phone (803) 883-6876

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1699086819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501842",
            "telephone_number": "803-469-3213",
            "fax_number": "803-469-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "JESSICA",
        "middle_name": "TYE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.