Jessica Hissam, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH9739 Issued in AL

Practice address

97 Hughes Rd Ste P
Madison, AL 35758-3401

Phone

(256) 774-2978

Fax

(256) 774-2979

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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

• Center for Advancement of Nextgen Deaf

  • Hearing and Speech Clinic/Center
  • Huntsville, AL
  • NPI 1376387365
  NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1871130161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-883-1970",
            "fax_number": "256-883-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 HUGHES RD STE P",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583401",
            "telephone_number": "256-774-2978",
            "fax_number": "256-774-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSAM",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Lynn Hilliard, ALC
• Tarica Hillman
• Hannah G Hilton, ALC
• Deandre Hines
• Karen Elizabeth Hinton, PMHNP
• Ashley Hobbs, COTA
• Thomas Patrick Hochhalter-Skarp, DC
• McKayla Lee Hodges, MS, ALC, NCC
• Ashley Hoffman, PSY.D.
• Leslie Hogan, CRNP

• Physical Therapist in Madison, AL
• Providers in Madison, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.