Jessica Clayburgh MSPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JESSICA CLAYBURGH MSPT LLC

Practice address

444 Angell St
Providence, RI 02906-4481

Phone

(401) 256-9159

NPI assigned

Jan 10, 2019

Organization subpart

No

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

Authorized official

Name

Jessica Clayburgh

Title

Owner

Phone

(401) 256-9159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1861965063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064481",
            "telephone_number": "401-256-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064481",
            "telephone_number": "401-256-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CLAYBURGH MSPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "CLAYBURGH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-256-9159"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol J. Jensen, PH.D.
• Fred R Jensen, PTA
• Kely Cristina Jeronimo, P.A
• Jerrold N Rosenberg.MD Inc
• Devon Jervis
• Hannah Grace Jester, RN
• Jennifer Jette
• Jewish Collaborative Services
• Jewish Family Services
• Jewish Seniors Agency of Rhode Island

• Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.