Individual provider Active NPI

Jaclyn Chubb, DPT

  • Orthopedic Physical Therapist
  • Lancaster, PA
National Provider Identifier
1194181271
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT023477 Issued in PA
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

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216000215 PA Practitioner - Physical Therapist in Private Practice 8820392608 Reassigns benefits to 3 organizations

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
Hartz Physical Therapy, Inc.Group PAC ID 8426023292, 24 clinicians

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

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 1, 2023 Accepting new patients
Lancaster General Medical Group CurrentSince May 1, 2023 Accepting new patients
Functional Freedom LLC Orthopedic CurrentSince May 6, 2024 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Hartz Physical Therapy, Inc Orthopedic CurrentSince Nov 13, 2023 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.

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.

Verify at the official NPI Registry.