Jessica Bertocki, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013812L Issued in PA

Practice address

115 E Grove St
Clarks Summit, PA 18411-1773

Phone

(570) 586-1188

NPI assigned

Mar 30, 2023

Last updated

Mar 30, 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

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Julie Lynn Tinkelman, P.T.

  • Physical Therapist
  • Clarks Summit, PA
  • NPI 1528043890
  Medicare reassignment
• Body Dynamic

  • Physical Therapist
  • Clarks Summit, PA
  • NPI 1326281577
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1952005092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TOMPKINSVILLE RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184337888",
            "telephone_number": "570-351-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E GROVE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111773",
            "telephone_number": "570-586-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOCKI",
        "first_name": "JESSICA",
        "credential": "PT,  DPT,  MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013812L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kathleen Beck, PHYSICAL THERAPIST
• Erica Lynn Bednarz, MSPT
• Jeffrey S Bell, D.M.D.
• Alan Robert Benson, PH.D.09
• Marc Berneski
• Babette Biesecker, CRNP
• Phillip A Boccagno, MD
• Body Dynamic
• Megan Rose Boettcher, LCSW, C-SSWS, DCSW
• Michael R Boland, OD

• Physical Therapist in Clarks Summit, PA
• Providers in Clarks Summit, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.