Individual provider Active NPI

Jessica Vaysman, PT, DPT

  • Physical Therapist
  • Holland, PA
National Provider Identifier
1720473150
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01604700 Issued in NJ
Practice address
42 Hope Rd
Holland, PA 18966-5409
Phone
(215) 380-9961
Fax
(215) 220-3451
NPI assigned
Apr 2, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 40QA01604700 NJ Primary

Addresses

Primary practice location

42 Hope Rd
Holland, PA 18966-5409

Mailing address

42 Hope Road
Holland, PA 18966
Phone (215) 380-9961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001795 PA Practitioner - Physical Therapist in Private Practice 1759692866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Plus Care LLCGroup PAC ID 1850722430, 10 clinicians

Practice addresses (Care Compare)

808 Cates Way
Philadelphia, PA 19115-4120
Phone (323) 918-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01604700NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Express & Discount Corp Current Accepting new patients
Pharmacy Express & Discount Corp Current Accepting new patients
A Plus Care LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720473150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HOPE ROAD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "18966",
            "telephone_number": "215-380-9961",
            "fax_number": "215-220-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HOPE RD",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665409",
            "telephone_number": "215-380-9961",
            "fax_number": "215-220-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAYSMAN",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01604700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.