Jessica Mitra
NPI 1386674174ActiveIndividual· Physical Therapist· West Chicago, IL
Physical Therapist with Privia Medical Group Washington PLLC and 1 other group, practicing in West Chicago, Illinois. Medicare paid $6,216 for services to 13 patients in 2024.
Overview
| NPI | 1386674174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 4, 2006 |
| Last updated in NPPES | Oct 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070012836 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 295 across 6 procedure codes |
| Paid by Medicare | $6,216 |
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Privia Medical Group Washington PLLCWalla Walla, WA · 76 clinicians
- Agility PT PLLCWalla Walla, WA · 2 clinicians
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