Jason Harvey, PTA
Individual provider Active NPI Physical Therapy Assistant · East Quogue, NY
NPI 1215487541 · NPPES record last updated Oct 11, 2016
Key facts
- NPI
- 1215487541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 143 Chardonnay Dr
East Quogue, NY 11942-3829 - Phone
- (631) 278-0665
- Fax
- (631) 619-6680
- NPI assigned
- Oct 11, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | CT | Yes |
Addresses
Primary practice location
143 Chardonnay Dr
East Quogue, NY 11942-3829
Mailing address
13 Hillside Rd
Southbury, CT 06488-2024
Other providers in East Quogue, NY
- Joseph Giglio
- Marylin Gilks
- Seth Greiner
- Monica Guerrero
- Hampton Family Dental PC
- Alyssa Erin Healy
- Helping Hands Physical Therapy PC
- Suleyka Hernandez
- Independent Group Home Living
- Mary Anne Kandell
All providers in East Quogue, NY · Physical Therapy Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.