JESSICA BROCK (NPI# 1891191102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891191102 |
| Entity Type | Individual |
| Full Name | JESSICA BROCK |
| Credential | PT, DPT |
| Practice Address |
125 Dillmont Dr Columbus OH 43235-4658 |
| Practice Telephone | 6148445433 |
| Mailing Telephone | 6148445433 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2015-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
OH.013453 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OO72761 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356909360 | Jessica Beth Brock | Early Intervention Provider Agency | 42 Gwendolyn Pl, East Islip, NY 11730-3220 | 2019-06-04 |
| 1902125024 | Jessica C Brock | Physician Assistant | Endocrinology Clinic, 740 S. Limestone, Lexington, KY 40536-0284 | 2010-05-28 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1376157578 | Jessica Shae Brock | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-04 |
| 1851846802 | Jessica Suzanne Brock | Specialist/Technologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2016-08-19 |
| 1295148914 | Jessica Marie Brock | Nurse Practitioner | 1010 Main St S, Mc Kee, KY 40447-7089 | 2014-06-10 |
| 1740582915 | Jessica Brock | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2010-11-22 |
| 1053540450 | Jessica Nicole Brock | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2009-07-07 |
| 1699925537 | Jessica Gray Brock | Physician Assistant | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2008-09-29 |
| Street Address |
125 DILLMONT DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43235-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770767626 | Elizabeth Fonzi | Speech-Language Pathologist | 125 Dillmont Dr, Columbus, OH 43235 | 2007-12-27 |
| 1124662853 | Kerry Jo Murphy | Speech-Language Pathologist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2019-11-06 |
| 1487200804 | Emily Rinehart | Occupational Therapist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2019-08-12 |
| 1760037881 | Allison Heun | Speech-Language Pathologist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2019-08-06 |
| 1770021487 | Tera Renee Mcnutt | Behavioral Analyst | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2017-02-02 |
| 1073058822 | The Learning Spectrum | Day Training, Developmentally Disabled Services | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2017-01-04 |
| 1700320678 | Ryan Wolfe | Behavioral Analyst | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2016-12-13 |
| 1669920898 | The Learning Spectrum | Day Training, Developmentally Disabled Services | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2016-09-16 |
| 1043661085 | Brynne Artim | Behavioral Analyst | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2016-06-30 |
| 1801267653 | Katarzyna Schmidt | Speech-Language Pathologist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323261 | Herbert G Gebert | Chore Provider | 864 Garehouse Lane, Columbus, OH 43235 | 2020-10-12 |
| 1306488119 | Emily Belcher | Case Manager/Care Coordinator | 2540 Billingsley Road, Columbus, OH 43235 | 2019-10-14 |
| 1013576677 | Sara Michel | Behavior Technician | 200 East Campus View Boulevard, Suite 200, Columbus, OH 43235 | 2019-06-07 |
| 1902368756 | Ability Chiropractic Lewis Center LLC | Chiropractor | 6329 Pullman Dr, Lewis Center, OH 43235 | 2019-04-02 |
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1497240907 | Mary Crouser | Case Manager/Care Coordinator | 7690 New Market Way, Columbus, OH 43235 | 2018-06-27 |
| 1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
| 1700394921 | Amanda Daniel | Specialist/Technologist | 8375 Freedom Crossing Rd Unit J, Columbus, OH 43235 | 2018-01-22 |
| 1528579075 | Inxite Florida LLC | Case Management | 1 E Campus View Blvd Ste 320, Columbus, OH 43235 | 2017-10-23 |
| 1194243170 | Ohio Medical Transportation, Inc. | Ambulance | 2827 West Dublin-granville Road, Columbus, OH 43235 | 2017-08-30 |
| Find all providers in zip 43235 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881140069 | Andrea Jean Bradley | Physical Therapist | 2400 Mcvey Ct, Columbus, OH 43235-2835 | 2016-08-29 |
| 1700395605 | Rebecca Berndt | Physical Therapist | 2001 Hamilton Ave, Columbus, OH 43211-2115 | 2017-09-22 |
| 1306374699 | Gretchen Shevelow | Physical Therapist | 1481 W Town St, Columbus, OH 43223-1379 | 2017-05-31 |
| 1194274845 | Sandra Antoszewski | Physical Therapist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2016-09-22 |
| 1114473204 | Cynthia A. Decerce | Physical Therapist | 2001 Hamilton Ave, Columbus, OH 43211-2115 | 2016-08-29 |
| 1871905919 | Jennie Amicon | Physical Therapist | 499 E Weisheimer Rd, Columbus, OH 43214-2238 | 2014-05-23 |
| 1295007581 | Mona Renee Mcclellan | Physical Therapist | 2625 Foxpointe Drive, Suite A, Columbus, IN 47203-3278 | 2012-02-01 |
| 1992911556 | Glenda Bailey Morris | Physical Therapist | 2879 Johnstown Rd, Columbus, OH 43219-1719 | 2007-05-14 |
| 1134161086 | Kelly Riley Shaw | Physical Therapist | 705 17th St, Suite 407, Columbus, GA 31901-3500 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158279 | Jennifer Elliott | Physical Therapist | 1205 King Rd, Toledo, OH 43617-2013 | 2019-01-17 |
| 1679090427 | Courtney M Goldsbury | Physical Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2017-08-23 |
| 1760910459 | Eileen Marie Butler | Physical Therapist | 200 East Wilson Bridge, Worthington, OH 43085 | 2017-05-25 |
| 1487189635 | Alexandra Talbott-welch | Physical Therapist | 12618 Mount Overlook Ave, Cleveland, OH 44120-1042 | 2017-04-25 |
| 1720537889 | Suzanne P Mcdonough | Physical Therapist | 95 Valley Brook Blvd, Hinckley, OH 44233-9615 | 2016-09-29 |
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1013463512 | Gina Menke | Physical Therapist | 27 St Lawrence Dr Ste 104th, Tiffin, OH 44883-8312 | 2016-08-25 |
| 1003264490 | Erin Ashley Butler | Physical Therapist | 9560 Children Dr, Mason, OH 45040-9362 | 2016-05-26 |
| 1154779601 | Jenna Moffo | Physical Therapist | 2161 Bolser Dr, Cincinnati, OH 45215-3933 | 2016-05-25 |
| 1417315987 | Maurisa Baker | Physical Therapist | 12615 Wildflower Dr, Pickerington, OH 43147-9345 | 2016-01-29 |
| 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.