Individual provider Active NPI

Jodi Golden Tepsic, MPT

  • Physical Therapist
  • Burgettstown, PA
National Provider Identifier
1982873774
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015245 Issued in PA
Practice address
2038 Smith Township State Rd
Suite 4
Burgettstown, PA 15021-9701
Phone
(724) 947-1002
Fax
(724) 947-1007
NPI assigned
Feb 26, 2008
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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 015245 PA Primary

Addresses

Primary practice location

2038 Smith Township State Rd
Suite 4
Burgettstown, PA 15021-9701

Mailing address

2038 Smith Township State Rd
Suite 4
Burgettstown, PA 15021-9701
Phone (724) 947-1002

Other names 1

  • Ms. Jodi Ann Golden Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000745 PA Practitioner - Physical Therapist in Private Practice 4587651641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burgettstown Physical Therapy LLCGroup PAC ID 5294623153, 14 clinicians

Practice addresses (Care Compare)

2038 Smith Township State Rd
Suite 4
Burgettstown, PA 15021-9701
Phone (724) 947-1002

3627 Brodhead Rd
Suite 2
Monaca, PA 15061-2881
Phone (724) 775-6012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015245PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burgettstown Physical Therapy, LLC Physical Therapist CurrentSince Jan 13, 2003 Accepting new patients

Locations

2038 Smith Township State Rd
Burgettstown, PA 15021

2038 Smith Township State Rd
Ste 4
Burgettstown, PA 15021
Phone (724) 825-5480

3627 Brodhead Rd
Ste 2
Monaca, PA 15061
Phone (724) 775-6012

470 Johnson Rd
Ste 140
Washington, PA 15301
Phone (412) 670-2845

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1982873774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 SMITH TOWNSHIP STATE RD",
            "address_2": "SUITE 4",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150219701",
            "telephone_number": "724-947-1002",
            "fax_number": "724-947-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 SMITH TOWNSHIP STATE RD",
            "address_2": "SUITE 4",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150219701",
            "telephone_number": "724-947-1002",
            "fax_number": "724-947-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPSIC",
        "first_name": "JODI",
        "middle_name": "GOLDEN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "015245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "GOLDEN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burgettstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.