Individual provider Active NPI

Jael McCants, DPT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1093353294
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045298 Issued in NY
Practice address
12 E 97TH St Ste 1C
New York, NY 10029-6918
Phone
(212) 426-4700
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 045298 NY Primary

Addresses

Primary practice location

12 E 97TH St Ste 1C
New York, NY 10029-6918

Mailing address

15 Arlington PL Apt 2
Brooklyn, NY 11216-2001
Phone (608) 345-2887

Other practice location 1

15 Arlington Pl Apt 2
Brooklyn, NY 11216-2001
Phone (608) 345-2887

Other identifiers 1

IdentifierTypeStateIssuer
045298OtherNYPT LICENSE NUMBER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
045298NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Weaver PT PC Physical Therapist CurrentSince Dec 22, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1093353294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ARLINGTON PL APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162001",
            "telephone_number": "608-345-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 97TH ST STE 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296918",
            "telephone_number": "212-426-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Arlington Pl Apt 2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112162001",
            "country_code": "US",
            "telephone_number": "608-345-2887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANTS",
        "first_name": "JAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "045298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.