Individual provider Active NPI

Jesse Stephen Simpson, PT, DPT

  • Physical Therapist
  • Hatboro, PA
National Provider Identifier
1790561504
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028768 Issued in PA
Practice address
313 W County Line Rd
Hatboro, PA 19040-1102
Phone
(215) 675-5005
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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 PT028768 PA Primary

Addresses

Primary practice location

313 W County Line Rd
Hatboro, PA 19040-1102

Mailing address

91 Blue Jay Rd
Chalfont, PA 18914-3101
Phone (484) 866-6012

Other practice location 1

3485 Davisville Rd
Hatboro, PA 19040-4220
Phone (215) 830-0400

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT028768PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Therapy, Inc. Past Accepting new patients
Benchmark Therapy, Inc Physical Therapist Past Accepting new patients
Benchmark Therapy, Inc 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1790561504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BLUE JAY RD",
            "city": "CHALFONT",
            "state": "PA",
            "postal_code": "189143101",
            "telephone_number": "484-866-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401102",
            "telephone_number": "215-675-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3485 Davisville Rd",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190404220",
            "country_code": "US",
            "telephone_number": "215-830-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JESSE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.