Active NPI
Jeffrey Joseph Foss, PT
- Physical Therapist
- Queensbury, NY
National Provider Identifier
1215042841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009664-1
- Practice address
- 13 Baywood Dr
Queensbury, NY 12804-5822 - Phone
- (518) 761-0850
- Fax
- (518) 745-1351
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009664-1 | NY | Primary |
Addresses
Primary practice location
13 Baywood Dr
Queensbury, NY 12804-5822
Mailing address
13 Baywood Dr
Queensbury, NY 12804-5822
Phone (518) 761-0850
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43151 | Other | NY | MVP HEALTH PLAN |
| QN1851 | Other | NY | EMPIRE BC/BS |
| 000492286002 | Other | NY | BLUE SHIELD NENY |
| 10000675 | Other | NY | CDPHP |
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 |
|---|---|---|---|
| 096641 | NY | MD | Social Worker |
| 009664-1 | NY | MD | Physical Therapist |
| 009664 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1215042841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BAYWOOD DR",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128045822",
"telephone_number": "518-761-0850",
"fax_number": "518-745-1351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 BAYWOOD DR",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128045822",
"telephone_number": "518-761-0850",
"fax_number": "518-745-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "JEFFREY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009664-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH PLAN",
"identifier": "43151",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "QN1851",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "000492286002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10000675",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.