Individual provider Active NPI

Jessica Nicole Jones, PT, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1730627423
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61459977 Issued in WA
Practice address
508 1St Ave N
Seattle, WA 98109-4522
Phone
(206) 895-7535
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22722 MA
Physical Therapist 225100000X PT61459977 WA Primary

Addresses

Primary practice location

508 1St Ave N
Seattle, WA 98109-4522

Mailing address

2801 Western Ave Apt 609
Seattle, WA 98121-1196
Phone (774) 279-6285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170306001317 MA Practitioner - Physical Therapist in Private Practice 2567746852
I20231212001858 WA Practitioner - Physical Therapist in Private Practice 2567746852 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
Therapydia California Physical Therapy P CGroup PAC ID 9638428097, 21 clinicians

Practice addresses (Care Compare)

508 1St Ave N
Seattle, WA 98109-4522
Phone (206) 895-7535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22722MAMDPhysical Therapist
PT61459977WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia California Physical Therapy, PC. Physical Therapist CurrentSince Sep 23, 2023 Accepting new patients
Atrius Health, Inc. Physical Therapist Current Accepting new patients
Atrius Health, Inc. Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Atrius Health, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Active Seattle Physical Therapy, PLLC Physical Therapist PastSince Sep 23, 2023 Accepting new patients
Therapydia of Washington PC Physical Therapist PastSince Dec 1, 2024 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

508 1st Ave N
Seattle, WA 98109
Phone (206) 895-7535

1125 SE 163rd Pl
Ste 102
Vancouver, WA 98683
Phone (360) 658-4340

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1730627423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WESTERN AVE APT 609",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211196",
            "telephone_number": "774-279-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 1ST AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094522",
            "telephone_number": "206-895-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22722",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61459977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.