Active NPI
Jessica Truesdell, DPT
- Orthopedic Physical Therapist
- Mexico, NY
National Provider Identifier
1699316513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 048023
- Practice address
- 216 County Route 64
Mexico, NY 13114-3229 - Phone
- (315) 963-0864
- Fax
- (315) 963-7693
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 048023 | NY | Primary |
Addresses
Primary practice location
216 County Route 64
Mexico, NY 13114-3229
Mailing address
PO Box 519
Watertown, NY 13601-0519
Phone (315) 782-3941
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1699316513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 519",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136010519",
"telephone_number": "315-782-3941",
"fax_number": "315-782-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 COUNTY ROUTE 64",
"city": "MEXICO",
"state": "NY",
"postal_code": "131143229",
"telephone_number": "315-963-0864",
"fax_number": "315-963-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUESDELL",
"first_name": "JESSICA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "048023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mexico, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.