Jared D Smaldon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5241 Judd Rd
Whitesboro, NY 13492-3610

Phone

(315) 765-6187

Fax

(315) 765-6481

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ryan Monaco Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Utica, NY
  • NPI 1336507789
  Medicare reassignment NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1124747241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 JUDD RD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134923610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5241 JUDD RD",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134923610",
            "telephone_number": "315-765-6187",
            "fax_number": "315-765-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALDON",
        "first_name": "JARED",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED",
            "identifier": "049139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Anne Scharbach, RN
• Debra Miller Schefer, LMSW
• Kristin L Schultz, COTA
• Scriptstop LLC
• Brittany Simpson, PT, DPT
• Susan Spina, CSW-R
• Jianye Teng, MD
• Mia Hope Townsend, LMSW
• Trisha Vanslyke-Pasco, NP
• Benjamin Theodore Wadas, OD

• Physical Therapist in Whitesboro, NY
• Providers in Whitesboro, 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 Aug 23, 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.