Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessica Lynn Petty, PTA

Individual provider Physical Therapy Assistant · NPI 1063071561

Jessica Lynn Petty, PTA is a Physical Therapy Assistant in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12826 Daylight Cir
Saint Louis, MO 63131-1890
Phone: (314) 328-0441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12826 Daylight Cir, Saint Louis, MO 63131-1890 — (314) 328-0441

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2016037457 (MO)

Record details

NPI number1063071561
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESJune 7, 2019

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