Active NPI
Jessica Medearis
- Physical Therapy Assistant
- Cincinnati, OH
National Provider Identifier
1932816352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 012871
- Practice address
- 222 Senator PL Apt 18
Cincinnati, OH 45220-1728 - Phone
- (816) 225-1032
- NPI assigned
- Nov 4, 2022
- 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 Therapy Assistant | 225200000X | 012871 | OH | Primary |
Addresses
Primary practice location
222 Senator PL Apt 18
Cincinnati, OH 45220-1728
Mailing address
222 Senator PL Apt 18
Cincinnati, OH 45220-1728
Phone (816) 225-1032
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medearisjessicataylor@gmal.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012871 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1932816352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SENATOR PL APT 18",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452201728",
"telephone_number": "816-225-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SENATOR PL APT 18",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452201728",
"telephone_number": "816-225-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEARIS",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "012871",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medearisjessicataylor@gmal.com",
"affiliation": "N",
"address_1": "222 Senator Pl Apt 18",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452201728",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.