Jessie Andoscia

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PTA01271 Issued in RI

Practice address

1700 Cranston St
Cranston, RI 02920-5038

Phone

(401) 223-0230

NPI assigned

Jun 1, 2020

Last updated

Jun 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha Physical Therapy, Inc.

  • Physical Therapist
  • Cranston, RI
  • NPI 1316071855
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1699399147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205038",
            "telephone_number": "401-223-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CRANSTON ST",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205038",
            "telephone_number": "401-223-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Cranston St",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029205038",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDOSCIA",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "RI",
            "license": "PTA01271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PTA01271",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "webpt",
            "affiliation": "N",
            "endpointDescription": "electronic medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1700 Cranston St",
            "city": "Cranston",
            "state": "RI",
            "country_code": "US",
            "postal_code": "029205038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amrut R Patel MD
• Juyoung An
• Victoria Andersen, MS
• Jessica Anderson, LCSW
• John Kenneth Anderson, PHARMD
• Jason Michael Andreas, D.O.
• Maureen Andreoni, LMT
• Mariann Andreozzi, LCMHC
• Ronald Andrews, MASTERS
• James Andriotis, MD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Cranston, RI
• Providers in Cranston, RI by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.