Jill Petry, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028008 Issued in NY

Practice address

30 Hatfield LN
Suite 201
Goshen, NY 10924-6766

Phone

(845) 294-0779

Fax

(845) 294-9497

NPI assigned

Oct 10, 2008

Last updated

Oct 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1033361894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 OLD MONTICELLO ROAD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "12734",
            "telephone_number": "845-292-1624",
            "fax_number": "845-292-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HATFIELD LN",
            "address_2": "SUITE 201",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246766",
            "telephone_number": "845-294-0779",
            "fax_number": "845-294-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "JILL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen E Perkins, COTA
• Shelley Ann Perry, COTA
• Millicent Rose Peterson, AU.D., CCC-A
• Lauren Elizabeth Petriski, MS, CAS
• Casey Susan Petronella, DO
• Virginia Anne Petzold, DC
• Jessica Phair, FNP
• Steven J Phillips, MA, LMHC
• Maria Violeta Pierre
• Mary Jane Pikul

• Physical Therapist in Goshen, NY
• Providers in Goshen, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.