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NPI Code Detail

MEDICARE: MS. JILL KRESSLEY PT

MEDICARE: MS. JILL KRESSLEY 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
1225100000XPhysical Therapist0229101NY
2225100000XPhysical Therapist8615MA
3225100000XPhysical TherapistPT01578RI
4225100000XPhysical TherapistPT38253GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT38253OTHERGASTATE PT LICENSE

General Provider Information

NPI Number : 1871567248
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JILL KRESSLEY PT
Provider Business Mailing Address
First Line : 3955 INDIAN RIVER BLVD STE 100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4845
Country : US
Telephone Number : 772-569-2330
Fax Number :
Provider Business Practice Location Address
First Line : 3955 INDIAN RIVER BLVD STE 100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4845
Country : US
Telephone Number : 772-569-2330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 03/25/2025

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Directions to “ MS. JILL KRESSLEY PT” Practice Location

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