Jessica Harrison, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160266905 Issued in WA

Practice address

3710 168TH St NE
Arlington, WA 98223-8461

Phone

(360) 658-8100

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1790407245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12509 54TH AVE SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238461",
            "telephone_number": "360-658-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JESSICA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160266905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "P160266905",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "prnpt.com",
            "affiliation": "N",
            "address_1": "3710 168th St NE",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982238461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dannielle Marie Hancock, LMP
• Hansen Chiropractic PS
• Leslie Brandt Hanson, PHARMACIST
• John A Harden, O.D.
• Heather Lynn Harmony, MSW, CC
• Kevin Arthur Harrison, DDS
• Ryan James Hart, LMT
• Ross P Hartling, M.D.
• Jenny Hasson
• Janis A Hathaway, RPH

• Physical Therapy Assistant in Arlington, WA
• Providers in Arlington, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.