Individual provider Active NPI

Jessica L Wilson, PT, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1902429160
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5825 Issued in OK
Practice address
4329 S Peoria Ave Ste 320
Tulsa, OK 74105-3936
Phone
(918) 794-9000
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5825 OK Primary

Addresses

Primary practice location

4329 S Peoria Ave Ste 320
Tulsa, OK 74105-3936

Mailing address

PO Box 721018
Norman, OK 73070-4786
Phone (405) 809-8713

Other names 1

  • Jessica L Schooley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200828001821 OK Practitioner - Physical Therapist in Private Practice 3779900261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redbud Physical Therapy LLCGroup PAC ID 4486939949, 32 clinicians

Practice addresses (Care Compare)

4008 S Yale Ave
Tulsa, OK 74135-6017
Phone (918) 622-4278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redbud Physical Therapy LLC CurrentSince May 24, 2020 Accepting new patients
Redbud Physical Therapy LLC CurrentSince Aug 5, 2020 Accepting new patients
Redbud Physical Therapy LLC Physical Therapist CurrentSince Aug 5, 2020 Accepting new patients

Locations

1118 S Main St
Grove, OK 74344
Phone (918) 786-9883

4526 S Peoria Ave
Tulsa, OK 74105
Phone (918) 794-9000

4329 S Peoria Ave
Ste 320
Tulsa, OK 74105
Phone (918) 794-9000

4008 S Yale Ave
Tulsa, OK 74135
Phone (918) 622-4126

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1902429160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721018",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704786",
            "telephone_number": "405-809-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4329 S PEORIA AVE STE 320",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741053936",
            "telephone_number": "918-794-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHOOLEY",
            "middle_name": "L",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.