Kathleen Jelliffe, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00793100 Issued in NJ

Practice address

140 Shepherd LN
Totowa, NJ 07512-2188

Phone

(973) 790-3095

NPI assigned

May 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment Care Compare group NPD
• Visiting Therapy Services LLC

  dba HomeCare Perks

  • Home Health Agency
  • Fairfield, NJ
  • NPI 1578852257

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114134947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HARVARD ST",
            "address_2": "FLOOR 1",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SHEPHERD LN",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122188",
            "telephone_number": "973-790-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLIFFE",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00793100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Jackson, EDD.,APN-BC
• Edward R Jacobs, OD
• Ivan Jakimovski, MD, MPH, DABFM
• Rebecca Anne Janis, RBT
• Carol Jarrouj
• Jersey First Homecare LLC
• Jeteye Inc (Pearle Vision)
• JLF Senior Care (Senior Helpers North Jersey)
• Jon I.Heller ,Inc
• Journey to Freedom

• Physical Therapist in Totowa, NJ
• Providers in Totowa, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.