1295343499 NPI number — JMC PHYSICAL THERAPY PC

Table of content: (NPI 1295343499)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295343499 NPI number — JMC PHYSICAL THERAPY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JMC PHYSICAL THERAPY PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295343499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/14/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1333A NORTH AVE # 717
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ROCHELLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10804-2120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-553-4607
Provider Business Mailing Address Fax Number:
844-573-8178

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
909 MIDLAND AVE, GROUND FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YONKERS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10704-1092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
646-713-2575
Provider Business Practice Location Address Fax Number:
844-573-8178
Provider Enumeration Date:
07/14/2020

Additional Information

Authorized Official

Authorized Official Last Name:
CERVANTES
Authorized Official First Name:
JACKY MARI
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR OF PHYSICAL THERAPY/ OWNER
Authorized Official Telephone Number:
646-713-2575

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 038891 . This is a "STAFF PROVIDER LIC. NO." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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