Active NPI
Jo Malahy Fletcher, D.P.T.
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1184845349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 62 032904
- Practice address
- 635 Madison Ave
New York, NY 10022-1009 - Phone
- (212) 224-7900
- Fax
- (212) 755-5634
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33137 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 62 032904 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 40QA01385100 | NJ |
Addresses
Primary practice location
635 Madison Ave
New York, NY 10022-1009
Mailing address
580 Mountain Ave
North Caldwell, NJ 07006-4573
Phone (619) 227-6659
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01385100 | NJ | MD | Orthopedic Physical Therapist |
| 62 032904 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1184845349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 MOUNTAIN AVE",
"city": "NORTH CALDWELL",
"state": "NJ",
"postal_code": "070064573",
"telephone_number": "619-227-6659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221009",
"telephone_number": "212-224-7900",
"fax_number": "212-755-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "JO",
"middle_name": "MALAHY",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33137",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "62 032904",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA01385100",
"primary": false
}
],
"identifiers": [],
"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 May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.