Active NPIIndividual providerSole proprietor

Jessica L Grimm, DPT

Clinic/Center, Physical Therapy in Ridgewood, New Jersey

NPI Number1356776991
Practice location
104 Chestnut St, Ridgewood, NJ 07450-2502
Fax
—
Last updated
April 16, 2018

Jessica Leigh Grimm is a Clinic/Center, Physical Therapy based in Ridgewood, NJ. Jessica Leigh Grimm practices in Ridgewood, NJ and has the professional credentials of DPT. The NPI Number for Jessica Leigh Grimm is 1356776991 and holds a License No. 40QA01509700 (NJ). The current practice location address for Jessica Leigh Grimm is 104 Chestnut St, Ridgewood, NJ 07450-2502 and can be reached out via phone at 201-493-8111.

Provider Profile Details

NPI Number
1356776991
Provider Name
Jessica Leigh Grimm
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
104 Chestnut St, Ridgewood, NJ 07450-2502
Phone Number
201-493-8111
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Sole Proprietor
Yes
Provider Enumeration Date
September 12, 2013
Last Update Date
April 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Chestnut St
Ridgewood, NJ 07450-2502
Zip
07450-2502
Phone Number
201-493-8111
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
551 Holly CT
Mahwah, NJ 07430-3434
City
Mahwah
State
NJ
Zip
07430-3434

License Information

License Number
40QA01509700
License State
NJ
Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica L Grimm, DPT?

The NPI number of Jessica L Grimm, DPT is 1356776991. It was assigned on September 12, 2013 and is currently active in the NPPES registry.

What is the specialty of Jessica L Grimm, DPT?

Jessica L Grimm, DPT is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in NJ under license number 40QA01509700.

Where does Jessica L Grimm, DPT practice?

The practice location is 104 Chestnut St, Ridgewood, NJ 07450-2502. The office can be reached at 201-493-8111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356776991 directly on the NPPES registry website.

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