Jessica Michelle Howard, DPT
Individual provider Active NPI Physical Therapist · Demotte, IN
NPI 1891950291 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1891950291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05011274A (IN)
- Practice address
- 401 15TH St SE
Demotte, IN 46310-9043 - Phone
- (219) 662-8929
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
12788 Adams Rd
Granger, IN 46530-7893
Phone (574) 271-1434
9150 E 109TH Ave
Suite 1D
Crown Point, IN 46307-7687
Phone (219) 988-1332
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190522001312 | IN | Practitioner - Physical Therapist in Private Practice | 8921341579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011274A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC | Current |
Accepting new patients | |
| Rci (WRS), LLC. | Current |
Accepting new patients |
Locations
9150 E 109th Ave
Ste 1D
Crown Point, IN 46307
Phone (219) 363-6051
860 Stillwater Pkwy
Crown Point, IN 46307
Phone (219) 662-8929
401 15th St SE
Demotte, IN 46310
Phone (219) 662-8929
12788 State Road 23
Granger, IN 46530
Phone (574) 271-1434
1900 S Heaton St
Unit 112
Knox, IN 46534
Phone (574) 772-2980
2934 Miller Dr
Plymouth, IN 46563
Phone (574) 941-2000
6678 US Highway 6
Portage, IN 46368
Phone (219) 762-0821
1300 Lincolnway
Valparaiso, IN 46383
Phone (219) 462-4193
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011274A | IN | Yes |
Addresses
Primary practice location
401 15TH St SE
Demotte, IN 46310-9043
Mailing address
308 E 1000 S
Kouts, IN 46347-9730
Phone (219) 309-5799
Other providers in Demotte, IN
- Haven Hospice in, LLC
- Stacy Hayes
- Hollywood Nails & Spa LLC
- Hook-Superx LLC
- Hook-Superx LLC
- Jenna Nichole Husar
- Jeffrey Glen Huxford
- Indiana Pharmacy Alliance
- Jasper County Chiropractic, Inc.
- Jasper County Hospital
All providers in Demotte, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.