Mathew Janczak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

035508 Issued in NY

Practice address

350 Parrish St
Canandaigua, NY 14424-1731

Phone

(585) 396-6133

NPI assigned

Jan 23, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063042695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-396-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241731",
            "telephone_number": "585-396-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCZAK",
        "first_name": "MATHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "035508",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mathew.janczak@thompsonhealth.org",
            "affiliation": "Y",
            "affiliationName": "FF Thompson Health System",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 Parrish St",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Jean Jackson, LPN
• Richard Jacobsen, OCCUPATIONAL THERAPI
• Marc Jacobson, PA
• Amy Jacoby, PTA
• James E. Broderick
• Germain Jean-Charles, DDS,MS
• Misselle Lavonne Jeffcoat, LPMHC, LPC, MS
• Elizabeth A Jeffery, LCSW
• Morgan Renee Jeneault, COTA/L
• Diana Jensen, RNFA

• Physical Therapist in Canandaigua, NY
• Providers in Canandaigua, 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 Nov 27, 2023; 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.