MEDICARE: DR. JESSICA RODGERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1063361467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA RODGERS

Provider Business Mailing Address
First Line	:	6733 N 8TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3326
Country	:	US
Telephone Number	:	609-970-0194
Fax Number	:

Provider Business Practice Location Address
First Line	:	6733 N 8TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3326
Country	:	US
Telephone Number	:	609-970-0194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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