JESSICA LEIGH GRIMM (NPI# 1356776991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356776991 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH GRIMM |
| Credential | DPT |
| Practice Address |
104 Chestnut St Ridgewood NJ 07450-2502 |
| Mailing Address |
551 Holly Ct Mahwah NJ 07430-3434 |
| Practice Telephone | 2014938111 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA01509700 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053969089 | Jessica Lynn Grimm | Social Worker | 5230 E 100th St, Garfield Heights, OH 44125-2402 | 2019-09-03 |
| 1528555810 | Jessica Grimm | Social Worker | 2001 E Market St, York, PA 17402-2841 | 2018-04-23 |
| 1922460476 | Jessica Grimm | Counselor | 911 E Hwy 377, Granbury, TX 76048-1242 | 2016-03-23 |
| 1003227091 | Jessica Grimm | Registered Nurse | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2014-05-13 |
| 1699103671 | Jessica Leanne Grimm | Nurse Practitioner | 10120 S Eastern Ave, Suite 120, Henderson, NV 89052-3951 | 2013-10-29 |
| 1598089211 | Jessica Lynn Grimm | Physical Therapist | 12800 N Lake Shore Dr, Mequon, WI 53097 | 2010-03-24 |
| 1407858962 | Jessica Jean Grimm | Optometrist | 221 3rd St W, Randolph A F B, TX 78150-4800 | 2005-08-15 |
| Street Address |
104 CHESTNUT ST |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992271829 | Margaret K Ortlieb | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2018-10-18 |
| 1659631570 | Travis L Reiter | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2012-05-24 |
| 1912192055 | Traci Marie O'hara | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2007-09-12 |
| 1275692824 | Kim R Minervini | Physical Therapist | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-12-08 |
| 1548340052 | Ridgewood Physical Therapy and Rehabilitation Center Inc. | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-10-17 |
| 1144259425 | Mark David Kirschenbaum | Internal Medicine | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-06-30 |
| 1881674653 | Julia J Freeman | Nurse Practitioner | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725229 | One Hand 1 Physical Therapy PC | Clinic/Center | 6685 Forest Ave, Ridgewood, NY 11385-3839 | 2019-08-10 |
| 1972144434 | Neck and Back Pt LLC | Clinic/Center | 228 E Glen Ave, Ridgewood, NJ 07450-1728 | 2019-10-04 |
| 1629442793 | Wyckoff Physical Therapy PC. | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-11-30 |
| 1245602853 | Dexter Bongato | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-10-22 |
| 1649642315 | Ahmed Abdelaty | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-10-21 |
| 1942672696 | Oliver Cayetano | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-10-21 |
| 1598137267 | Alexander Guillera | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-10-21 |
| 1962885491 | Fresh Pond Physical Therapy, P.c | Clinic/Center | 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | 2015-07-01 |
| 1548340052 | Ridgewood Physical Therapy and Rehabilitation Center Inc. | Clinic/Center | 104 Chestnut St, Ridgewood, NJ 07450-2502 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
| 1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
| 1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
| 1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
| 1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
| 1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
| 1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
| 1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
| 1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
| 1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.