Individual ProviderJessica Lynn AtkinsonPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1040 Pilgrim Way, Green Bay, WI 54304-50281920405352PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Lynn Atkinson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1780979724Provider TypeIndividualFull NameAtkinson, Jessica LynnTitleMrs.CredentialPTAGenderFemaleSole ProprietorNoEnumeration Date6/17/2011Last Updated6/17/2011Contact InformationPractice LocationPractice Address1040 Pilgrim Way, Green Bay, WI 54304-5028Phone1920405352FaxUnlisted FaxMailing LocationMailing Address2453 Basswood St, Green Bay, WI 54313-5707PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225200000XPrimaryDescriptionPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1497-19Wisconsin