Active NPI
Joel Bernard Huckins, PT
- Physical Therapist
- Johnstown, NY
National Provider Identifier
1033439211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 023033-1
- Practice address
- 201 W Madison Ave
Physical Therapy Dept.
Johnstown, NY 12095-2806 - Phone
- (518) 762-4548
- Fax
- (518) 736-1570
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- 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 | 023033-1 | NY | Primary |
Addresses
Primary practice location
201 W Madison Ave
Physical Therapy Dept.
Johnstown, NY 12095-2806
Mailing address
201 W Madison Ave
Physical Therapy Dept.
Johnstown, NY 12095-2806
Phone (518) 762-4548
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023033-1 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1033439211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W MADISON AVE",
"address_2": "PHYSICAL THERAPY DEPT.",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952806",
"telephone_number": "518-762-4548",
"fax_number": "518-736-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W MADISON AVE",
"address_2": "PHYSICAL THERAPY DEPT.",
"city": "JOHNSTOWN",
"state": "NY",
"postal_code": "120952806",
"telephone_number": "518-762-4548",
"fax_number": "518-736-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKINS",
"first_name": "JOEL",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "023033-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.