Individual provider Active NPI

Jessica Leland, P.T., DPT

  • Physical Therapist
  • Bedford, NH
National Provider Identifier
1841671195
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3974 Issued in NH
Practice address
82 Palomino LN Ste 701
Bedford, NH 03110-6448
Phone
(603) 810-0670
Fax
(603) 810-0678
NPI assigned
Jun 12, 2015
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21720 MA
Physical Therapist 225100000X 3974 NH Primary

Addresses

Primary practice location

82 Palomino LN Ste 701
Bedford, NH 03110-6448

Mailing address

82 Palomino LN Ste 701
Bedford, NH 03110-6448
Phone (603) 810-0670

Other names 1

  • Jessica Woodworth Former name

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
21720MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wobbly Beginnings LLC Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients

Locations

82 Palomino Ln
Ste 701
Bedford, NH 03110
Phone (603) 810-0670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1841671195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PALOMINO LN STE 701",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106448",
            "telephone_number": "603-810-0670",
            "fax_number": "603-810-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PALOMINO LN STE 701",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106448",
            "telephone_number": "603-810-0670",
            "fax_number": "603-810-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "P.T., DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21720",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WOODWORTH",
            "credential": "P.T., DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; 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.