Active NPI
Jobin John, DPT
- Physical Therapist
- Purchase, NY
National Provider Identifier
1124666847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03258-1
- Practice address
- 3020 Westchester Ave
Purchase, NY 10577-2510 - Phone
- (914) 597-2133
- NPI assigned
- Dec 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03258-1 | NY | Primary |
Addresses
Primary practice location
3020 Westchester Ave
Purchase, NY 10577-2510
Mailing address
3020 Westchester Ave
Purchase, NY 10577-2510
Phone (914) 597-2133
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03258-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1124666847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772510",
"telephone_number": "914-597-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 WESTCHESTER AVE",
"city": "PURCHASE",
"state": "NY",
"postal_code": "105772510",
"telephone_number": "914-597-2133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JOBIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-12",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "03258-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purchase, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.