JESSICA LEIGH BODDEN (MPT) – Physical Therapist, NPI 1154396935
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JESSICA LEIGH BODDEN (MPT)
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
1215 Lee St
Charlottesville, VA 229080816
Phone: (434) 924-0211
Type: Location
2280 IVY RD
STE G271
CHARLOTTESVILLE, VA 22903
Phone: (434) 243-0311
Fax: (434) 244-3032
Type: Location
Northdale Boulevard Northwest, Northdale, Coon Rapids, Anoka County, Minnesota, 55448, United States
COON RAPIDS, MN 554333005
Phone: (763) 767-7106
Type: Location
51st Court, Albertville, Wright County, Minnesota, 55301, United States
ALBERTVILLE, MN 55301
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-11-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221103002622 | I | Physical Therapist In Private Practice | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22906)
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