Individual provider Active NPI

Jesse Parsons, DPT

  • Physical Therapist
  • Frederick, MD
National Provider Identifier
1770171019
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28253 Issued in MD
Practice address
65 Thomas Johnson Dr Ste D
Frederick, MD 21702-4371
Phone
(301) 663-7598
NPI assigned
Jan 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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 28253 MD Primary

Addresses

Primary practice location

65 Thomas Johnson Dr Ste D
Frederick, MD 21702-4371

Mailing address

65 Thomas Johnson Dr Ste D
Frederick, MD 21702-4371
Phone (301) 663-7598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210204000149 MD Practitioner - Physical Therapist in Private Practice 2567876493 Reassigns benefits to 2 organizations
I20240207000734 DC Practitioner - Physical Therapist in Private Practice 2567876493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

133 Defense Hwy
Annapolis, MD 21401-7015

1664 Bowmans Farm Rd
Suite 404
Frederick, MD 21701-3190
Phone (443) 609-8009

8895 McGaw Rd
Suite G
Columbia, MD 21045-4746
Phone (443) 441-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Ridge Physical Therapy Physical Therapist CurrentSince Dec 22, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9093 Ridgefield Dr
Ste 201
Frederick, MD 21701
Phone (301) 696-5595

65 Thomas Johnson Dr
Ste D
Frederick, MD 21702
Phone (301) 663-7598

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: jesse.parsons.1@8042.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1770171019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "301-663-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 THOMAS JOHNSON DR STE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024371",
            "telephone_number": "301-663-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JESSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.