Active NPI
Jennifer L Cudzil, PT
- Physical Therapist
- Manchester, NH
National Provider Identifier
1003844598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3044
- Practice address
- 29 Kosciuszko St
Manchester, NH 03101-1608 - Phone
- (603) 668-1106
- Fax
- (603) 668-6533
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3044 | NH | Primary |
Addresses
Primary practice location
29 Kosciuszko St
Manchester, NH 03101-1608
Mailing address
29 Kosciuszko St
Manchester, NH 03101-1608
Phone (603) 668-1106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Physical and Occupational Therapy Group PLLC | Physical Therapist | Past | Accepting new patients |
| Western New York PT Group PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Depew, NY
- NPI 1881647261
-
- Physical Therapist
- Depew, NY
- NPI 1013188341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003844598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 KOSCIUSZKO ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011608",
"telephone_number": "603-668-1106",
"fax_number": "603-668-6533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 KOSCIUSZKO ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011608",
"telephone_number": "603-668-1106",
"fax_number": "603-668-6533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUDZIL",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "3044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.