Jeffery Jadczak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015518 Issued in PA

Practice address

8019 Frankford Ave
Philadelphia, PA 19136-2786

Phone

(215) 338-8900

Fax

(215) 338-8923

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Johnstown, PA
  • NPI 1770537821

  Physical Therapist

  NPD
• Rehabcare Group East, LLC

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
  • NPI 1215806898
  NPD
• Core Performance and Rehabilitation

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1841467388
  NPD (past)
• Dynamic Therapy Services of Pennsylvania LLC

  • Physical Therapist
  • Aston, PA
  • NPI 1346477981
  NPD (past)
• Home Care Health Specialists LLC

  • Physical Therapist
  • Paoli, PA
  • NPI 1932532207
  NPD (past)
• Inner Circle Consulting, Inc.

  • Physical Therapist
  • Newtown, PA
  • NPI 1154450401
  NPD (past)
• Dynamic Physical Therapy

  • Physical Therapist
  • Bear, DE
  • NPI 1306875984
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1013958818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-859-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8019 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191362786",
            "telephone_number": "215-338-8900",
            "fax_number": "215-338-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADCZAK",
        "first_name": "JEFFERY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10001754",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30051358",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000000215642",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00359632",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRAVO",
            "identifier": "1013958818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102406483-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1483149",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "2173675000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Jaffe O'Duor, LLC
• Carol J Jacques, MSW LCSW
• Guesthia Jacques, LMSW
• Natacha Jacques
• Michael Jacunski, DO
• Caitlin Jaeckel, PA-C
• Emily Jaedicke-Brito
• Ashley Nicole Jaekel
• Bedour Jafar, MD
• Daniel Jafari, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.