Active NPI
Jessica C. Hill, PT
- Physical Therapist
- Grand Isle, VT
National Provider Identifier
1740241587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040-0003547
- Practice address
- 9 Cooper Bay S
Grand Isle, VT 05458-2430 - Phone
- (802) 318-5564
- Fax
- (877) 659-1695
- NPI assigned
- Mar 31, 2006
- Last updated
- Oct 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038787 | NY | |
| Physical Therapist | 225100000X | 040-0003547 | VT | Primary |
Addresses
Primary practice location
9 Cooper Bay S
Grand Isle, VT 05458-2430
Mailing address
9 Cooper Bay S
Grand Isle, VT 05458-2430
Phone (802) 318-5564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DOL605524500 | Other | VT | OWCP |
| OVN3223 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038787 | NY | MD | Pharmacist |
| 040-0003547 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT 360 Inc | Physical Therapist | Past | Accepting new patients |
| The Rehabgym Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- South Burlington, VT
- NPI 1043808629
-
- Physical Therapist
- Williston, VT
- NPI 1609183177
-
- Physical Therapist
- Williston, VT
- NPI 1750421772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1740241587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 COOPER BAY S",
"city": "GRAND ISLE",
"state": "VT",
"postal_code": "054582430",
"telephone_number": "802-318-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 COOPER BAY S",
"city": "GRAND ISLE",
"state": "VT",
"postal_code": "054582430",
"telephone_number": "802-318-5564",
"fax_number": "877-659-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "JESSICA",
"middle_name": "C.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-31",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038787",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040-0003547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "DOL605524500",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN3223",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Isle, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.