Active NPI
Jaclyn Chubb, DPT
- Orthopedic Physical Therapist
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT023477
- Practice address
- 170 N Pointe Blvd
Lancaster, PA 17601 - Phone
- (717) 299-4871
- Fax
- (717) 391-2494
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT023477 | PA | Primary |
Addresses
Primary practice location
170 N Pointe Blvd
Lancaster, PA 17601
Mailing address
170 N Pointe Blvd
Lancaster, PA 17601-4132
Phone (717) 299-4871
Other practice location 1
1701 Cornwall Rd Ste 200
Lebanon, PA 17042-7480
Phone (717) 299-4871
Other practice location 2
2913 Spooky Nook Rd Ste 100
Manheim, PA 17545-9149
Phone (717) 299-4871
Other practice location 3
212 Willow Valley Lakes Dr Ste 201
Willow Street, PA 17584-9668
Phone (717) 299-4871
Other names 1
- Jaclyn Klecko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Highlands Dr
Suite 100
Lititz, PA 17543-7692
Phone (717) 625-2228
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancaster General Medical Group | Current | Accepting new patients | |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Functional Freedom LLC | Orthopedic | Current | Accepting new patients |
| Lancaster General Medical Group | Current | Accepting new patients | |
| Hartz Physical Therapy, Inc | Orthopedic | Current | Accepting new patients |
Locations
426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301
2106 Harrisburg Pike
Ste 116
Lancaster, PA 17601
Phone (717) 393-1900
1701 Cornwall Rd
Ste 200
Lebanon, PA 17042
100 Highlands Dr
Ste 100
Lititz, PA 17543
Phone (717) 625-2228
755 E Main St
Mount Joy, PA 17552
Phone (717) 492-8708
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Lancaster, PA
- NPI 1952392383
-
- Obstetrics & Gynecology Physician
- Lancaster, PA
- NPI 1306724570
-
- Sports Medicine (Family Medicine) Physician
- Lititz, PA
- NPI 1427502582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1194181271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014132",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 N POINTE BLVD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "17601",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494"
}
],
"practiceLocations": [
{
"address_1": "1701 Cornwall Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170427480",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2913 Spooky Nook Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Manheim",
"state": "PA",
"postal_code": "175459149",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "212 Willow Valley Lakes Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Willow Street",
"state": "PA",
"postal_code": "175849668",
"country_code": "US",
"telephone_number": "717-299-4871",
"fax_number": "717-391-2494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUBB",
"first_name": "JACLYN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT023477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "KLECKO",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.