Individual provider Active NPI

Jessica Viscomi

  • Physical Therapist
  • Shrewsbury, MA
National Provider Identifier
1831218221
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MA 17848 Issued in MA
Practice address
3 Tennis Dr
Shrewsbury, MA 01545-3378
Phone
(508) 845-3500
Fax
(508) 845-7772
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 MA 17848 MA Primary

Addresses

Primary practice location

3 Tennis Dr
Shrewsbury, MA 01545-3378

Mailing address

3 Tennis Dr
Shrewsbury, MA 01545-3378
Phone (508) 845-3500

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

LicenseStateTypeSpecialty
17848MAMDGeneral Practice Dentistry
MA 17848MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All-Access Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1831218221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TENNIS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453378",
            "telephone_number": "508-845-3500",
            "fax_number": "508-845-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TENNIS DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453378",
            "telephone_number": "508-845-3500",
            "fax_number": "508-845-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCOMI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "MA 17848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.