JMK Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05007718A Issued in IN

Legal business name

JMK PHYSICAL THERAPY

Practice address

1201 W 96TH PL
Crown Point, IN 46307-1736

Phone

(219) 308-3050

NPI assigned

Apr 14, 2010

Last updated

Apr 14, 2010By 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

Ms. Maria Dava, PTNPI 1669796637

Title

Physical Therapy

Phone

(219) 308-3050

Specialties & licenses 3

Addresses

Practitioners 1

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.

• Maria Cecilia Dava, PHYSICAL THERAPIST

  • Physical Therapist
  • Crown Point, IN
  • NPI 1669796637
  NPD (past) Authorized official

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1174849228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W 96TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 96TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071736",
            "telephone_number": "219-308-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "DAVA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "219-308-3050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05005489A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007718A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009224A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamza Javed, DDS
• Majd Jazaerly, M.D.
• Felicia Renee Jeffers, DPT, PT
• Samantha Jenkins
• Jerry E. Lambert, Jr., D.D.S., P.C.
• Joanne Fodemski (Jaran Medical Services)
• Johnson Family Health Care
• Adam Michael Johnson, MA
• Angele Johnson, RBT
• Ashley Marie Johnson, FNP

• Physical Therapist in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.