Active NPI
Jessica S Pisano, DPT
- Physical Therapist
- Beachwood, OH
National Provider Identifier
1871800474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015329
- Practice address
- 23811 Chagrin Blvd
Ste 120
Beachwood, OH 44122-5555 - Phone
- (216) 682-0413
- Fax
- (216) 682-0417
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015329 | OH | Primary |
Addresses
Primary practice location
23811 Chagrin Blvd
Ste 120
Beachwood, OH 44122-5555
Mailing address
23811 Chagrin Blvd
Ste 120
Beachwood, OH 44122-5555
Phone (216) 682-0413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13578147 | Other | OH | CAQH |
Other names 1
- Jessica L Scott
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015329 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Rehabilitation Services 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Chicago, IL
- NPI 1881766921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1871800474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD",
"address_2": "STE 120",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225555",
"telephone_number": "216-682-0413",
"fax_number": "216-682-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23811 CHAGRIN BLVD",
"address_2": "STE 120",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225555",
"telephone_number": "216-682-0413",
"fax_number": "216-682-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANO",
"first_name": "JESSICA",
"middle_name": "S",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "015329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13578147",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SCOTT",
"middle_name": "L",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.