Jasper Rehab LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

JASPER REHAB LLC

Practice address

502 W 7TH St Ste 100
Erie, PA 16502-1333

Phone

(929) 328-6432

NPI assigned

Aug 16, 2022

Last updated

Aug 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yogesh Makvana

Title

VP of Clinical Operatioms

Phone

(929) 328-6432

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine M Angstadt, OTR/L

  • Occupational Therapist
  • West Reading, PA
  • NPI 1629277983
  Medicare reassignment NPD
• Yogeshkumar Makvana

  • Physical Therapist
  • East Rockaway, NY
  • NPI 1891235347
  NPD

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1073231015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARINA POINTE DR",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115182067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "929-328-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MAKVANA",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_title_or_position": "VP OF CLINICAL OPERATIOMS",
        "authorized_official_telephone_number": "929-328-6432"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Janssen, MD
• Edward E Janus, D.O.
• Jared J. Scott, D.C., P.C.
• Maggie Rose Jarmolowicz, D.O.
• Cynthia Lee Jaskiewicz
• Stephanie A Jawdy, CRNP
• Jilana Jaxon
• Richard Bryan Jay, PHARMD
• Wanna Stephanie Jean Mary, DPM
• Nishimwe Jeanine

• Rehabilitation Clinic/Center in Erie, PA
• Providers in Erie, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.