DR. SHELLEY LEAH JESSUP


Address: 7141 Security Blvd, Kaiser Permanente Woodlawn Medical Center, Baltimore, MD 21244-1811
Phone: 4436636000

DR. SHELLEY LEAH JESSUP (NPI# 1427241249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427241249
Entity Type Individual
Full Name DR. SHELLEY LEAH JESSUP
Credential DPT
Practice Address 7141 Security Blvd
Kaiser Permanente Woodlawn Medical Center
Baltimore
MD 21244-1811
Mailing Address 2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville
MD 20852-4908
Practice Telephone 4436636000
Mailing Telephone 3018162424
Enumeration Date 2007-08-24
Last Update Date 2012-12-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
23560 MD Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 7141 SECURITY BLVD
KAISER PERMANENTE WOODLAWN MEDICAL CENTER
City BALTIMORE
State MD
Zip Code 21244-1811

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659363885 Fiona F Meller-azrieli Internal Medicine 7141 Security Blvd, Baltimore, MD 21244-1811 2005-08-15
1447898531 Kaiser Foundation Health Plan of The Mid-atlantic States, Inc. Clinic/Center 7141 Security Blvd, Baltimore, MD 21244-1811 2019-12-19
1104385301 Kisha Mary Selby Registered Nurse 7141 Security Blvd, Baltimore, MD 21244-1811 2019-03-18
1932631918 Jennifer Taylor Ratta Dietitian, Registered 7141 Security Blvd, Baltimore, MD 21244-1811 2017-03-30
1033578364 Kaiser Foundation Health Plan of The Mid Atlantic States, Inc Clinic/Center 7141 Security Blvd, Baltimore, MD 21244-1811 2016-02-15
1376908020 Renee Farmer Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2015-12-23
1144656521 Dennis Artiga De Leon Physical Therapist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-09-18
1629413901 Alexandra Macleod Grimes Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-05-01
1528309051 Howard Seto Gwon Pharmacist 7141 Security Blvd, Pharmacy, Baltimore, MD 21244-1811 2013-03-07
1255672853 Karina Elaine Holland Pharmacist 7141 Security Blvd, Baltimore, MD 21244-1811 2013-03-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235748468 Sinnai Behavioral Health Services Inc Psychiatric Residential Treatment Facility 3610 Milford Road, Third Floor, Baltimore, MD 21244 2020-07-23
1023655370 Flourish Healthcare Solutions, LLC Home Health Aide 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 2019-12-05
1265078471 Chika Cares Pre-diabetes Workshop LLC Public Health or Welfare St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 2019-11-22
1306318761 Elana Rose Dorfman Social Worker 7205 Rutherford Road, Windsor Mill, MD 21244 2018-12-26
1235618406 Stacy Solte Antonio Physical Therapy Assistant 7141 Security Blvd., Woodlawn, MD 21244 2018-08-08
1831675446 Martha Marie Brown Behavior Technician 7901 Subet Rd, Windsor Mill, MD 21244 2018-07-17
1003306671 Bk Faithful Enterprises Consulting, LLC Dentist 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 2018-05-18
1235640475 Kingsley Awah Home Health Aide 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 2017-10-16
1316465917 Elizabeth Duggan Occupational Therapist 7141 Security Blvd, Md 21244, Baltimore, MD 21244 2017-09-03
1326565052 Latoya Womack Registered Nurse 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 2017-08-24
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619440203 Daniel Moore Chapman Physical Therapist 3555 Newland Rd, Baltimore, MD 21218-2513 2019-01-07
1417323833 Daniel Seubert Physical Therapist 8520 Drumwood Rd, Baltimore, MD 21286 2015-08-19
1326052515 Ian West Physical Therapist 210 E Centre St, Baltimore, MD 21202-3619 2006-07-27
1750862835 Zachary S Mitchell Physical Therapist 1420 Clarkview Rd, Baltimore, MD 21209-2104 2018-08-27
1851885768 Simeon Lee Mellinger Physical Therapist 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2018-06-15
1184179046 Allan H Macht Pa Physical Therapist 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 2016-08-22
1255886032 David Anthony Reymann Physical Therapist 575 S Charles St, Suite 201, Baltimore, MD 21201-2428 2016-08-22
1659739761 Miriam Higgins Physical Therapist 4940 Eastern Ave, Baltimore, MD 21224-2735 2016-02-03
1144606641 Rebecca Manning Physical Therapist 2900 S Hanover St, Suite 102, Baltimore, MD 21225-1232 2015-08-06
1417136946 Margaret Mary Cruse Physical Therapist 7850 Eastern Ave, Baltimore, MD 21224-2115 2007-11-01
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Competitor

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City BALTIMORE
Zip Code 21244

Improve Information

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Dataset Information

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.

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