Provider Demographics
NPI:1023680303
Name:THORPE, JESSICA ANN (PT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:THORPE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 COUNTY ROAD U APT H
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:54180-9618
Mailing Address - Country:US
Mailing Address - Phone:610-505-0803
Mailing Address - Fax:
Practice Address - Street 1:555 REDBIRD CIR STE 300
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-7980
Practice Address - Country:US
Practice Address - Phone:920-338-6870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-15
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029533225100000X
WI17425-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist