Individual provider Active NPI

Jessica Lynne Straub, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1710555024
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28465 Issued in MD
Practice address
3600 Clipper Mill Rd Ste 115
Baltimore, MD 21211-1957
Phone
(443) 961-4546
NPI assigned
Jun 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 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 28465 MD Primary

Addresses

Primary practice location

3600 Clipper Mill Rd Ste 115
Baltimore, MD 21211-1957

Mailing address

1185 River Bay Rd
Annapolis, MD 21409-4851
Phone (443) 534-6593

Other practice location 1

1836 Greene Tree Rd
Pikesville, MD 21208-1381
Phone (410) 486-9992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001115 MD Practitioner - Physical Therapist in Private Practice 0042736647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellinger Rehabilitation P.C.Group PAC ID 2062877160, 5 clinicians

Practice addresses (Care Compare)

3600 Clipper Mill Rd
Suite 115
Baltimore, MD 21211-1957
Phone (443) 961-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28465MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellinger Rehabilitation P.C. Physical Therapist CurrentSince Apr 14, 2025 Accepting new patients

Locations

3600 Clipper Mill Rd
Ste 115
Baltimore, MD 21211
Phone (443) 961-4546

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1710555024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 RIVER BAY RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214094851",
            "telephone_number": "443-534-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CLIPPER MILL RD STE 115",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111957",
            "telephone_number": "443-961-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 Greene Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212081381",
            "country_code": "US",
            "telephone_number": "410-486-9992",
            "fax_number": "410-486-8680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.