Active NPI
Jesse Corine North, PT, DPT
- Physical Therapist
- Sparks Glencoe, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28993
- Practice address
- 954 Ridgebrook Rd Ste 330
Sparks Glencoe, MD 21152-9440 - Phone
- (443) 212-5745
- Fax
- (443) 212-5749
- NPI assigned
- Aug 3, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT029721 | PA | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | PT029701 | PA | |
| Physical Therapist | 225100000X | 28993 | MD | Primary |
Addresses
Primary practice location
954 Ridgebrook Rd Ste 330
Sparks Glencoe, MD 21152-9440
Mailing address
954 Ridgebrook Rd Ste 330
Sparks Glencoe, MD 21152-9440
Phone (443) 212-5745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, MD
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28993 | MD | MD | Clinical Social Worker |
| PT029701 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparks Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Revolution Wellness and Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Sparks Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Institute LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
954 Ridgebrook Rd
Ste 330
Sparks Glencoe, MD 21152
Phone (301) 792-1450
954 Ridgebrook Rd
Ste 310
Sparks Glencoe, MD 21152
Phone (443) 212-5745
781 Far Hills Dr
Ste 400
New Freedom, PA 17349
Phone (717) 235-9890
492 N Main St
Red Lion, PA 17356
Phone (717) 417-5606
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Sparks Glencoe, MD
- NPI 1033738687
Physical Therapist
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- Physical Therapist
- Hummelstown, PA
- NPI 1538122700
-
- Physical Therapist
- Bel Air, MD
- NPI 1700683265
-
- Physical Therapist
- Sparks, MD
- NPI 1811716806
-
- Physical Therapist
- York, PA
- NPI 1053348409
-
- Physical Therapist
- Newport, PA
- NPI 1942848528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1720752801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 RIDGEBROOK RD STE 330",
"city": "SPARKS GLENCOE",
"state": "MD",
"postal_code": "211529440",
"telephone_number": "443-212-5745",
"fax_number": "443-212-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "954 RIDGEBROOK RD STE 330",
"city": "SPARKS GLENCOE",
"state": "MD",
"postal_code": "211529440",
"telephone_number": "443-212-5745",
"fax_number": "443-212-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTH",
"first_name": "JESSE",
"middle_name": "CORINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029721",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT029701",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks Glencoe, MD
- Kathryn Jenkins Psychiatry, LLC
- Michelle Renee Komrower, DPT
- Mikhel Kushner
- Medstar Medical Group II LLC (MedStar Orthopaedic Institute at Hunt Valley)
- Nardine Assaad, MD, LLC
- Sean O'Dea, M.A.T., BCBA, LBA
- Kristen Grabowski Obrecht, DDS
- Roshni N. Padhiar, PA-C
- Ashlynn Parker
- Elisabeth Edwards Pierson, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.