Jessica Lee Umholtz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEI002696 Issued in PA

Practice address

1020 Green Ave
Altoona, PA 16601-4623

Phone

(814) 946-2700

NPI assigned

Jul 20, 2023

Last updated

Jul 20, 2023By the provider in NPPES

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

Other names 1

• Jessica Lee Barstow Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1871273250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 GLENWOOD DR",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166017412",
            "telephone_number": "814-931-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GREEN AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014623",
            "telephone_number": "814-946-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMHOLTZ",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI002696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BARSTOW",
            "middle_name": "LEE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Andrew Tyndall, M.D.
• Tyrone Hospital
• Tyrone Hospital
• Tyrone Hospital
• Amy Jo Umholtz
• United Medical Care of Altoona LLC
• University of Pittsburgh Physicians (University of Pittsburgh Physicians - Pathology)
• University Orthopedics Center
• University Orthopedics Center, LTD
• University Orthopedics Center, LTD.

• Physical Therapy Assistant in Altoona, PA
• Providers in Altoona, PA by specialty
• Physical Therapy Assistant in Pennsylvania

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