MEDICARE: JESSICA GREGORY DPT, PT

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	225100000X	Physical Therapist	2305217700	VA

General Provider Information

NPI Number	:	1497688048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA GREGORY DPT, PT

Provider Business Mailing Address
First Line	:	8201 ATLEE RD STE D
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-1815
Country	:	US
Telephone Number	:	804-569-1787
Fax Number	:	804-569-9787

Provider Business Practice Location Address
First Line	:	8201 ATLEE RD STE D
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-1815
Country	:	US
Telephone Number	:	804-569-1787
Fax Number	:	804-569-9787

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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