Jam Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JAM PHYSICAL THERAPY PC

Practice address

179 Great East Neck Rd
West Babylon, NY 11704-8009

Phone

(917) 325-1189

Fax

(347) 296-3235

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Winda Dickey

Title

Medical Biller

Phone

(347) 638-3410

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1073111852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 AMERICA AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044039",
            "telephone_number": "917-325-1189",
            "fax_number": "347-296-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048009",
            "telephone_number": "917-325-1189",
            "fax_number": "347-296-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "WINDA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "347-638-3410"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A100000722",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376856401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikki Hurtt, LPN
• Shameela Inderdeo, LMHC
• Island Musculoskeletal Care MD PC
• Valerie Ismael, RN
• Henry Jacques
• Mary Virginia James
• Deesse Jean-Baptiste, RN
• Joliette N Jean-Raymond, APRN
• Debby Jean
• Jeanhealing LLC

• Physical Therapist in West Babylon, NY
• Providers in West Babylon, 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 14, 2020; 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.