Individual provider Active NPI

Jessica Lowy, PT

  • Physical Therapist
  • Tenafly, NJ
National Provider Identifier
1215910393
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
400A00737000 Issued in NJ
Practice address
111 Dean Dr Ste 1N
Tenafly, NJ 07670-2762
Phone
(201) 503-7173
Fax
(201) 503-7177
NPI assigned
Nov 22, 2005
Last updated
Mar 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 400A00737000 NJ Primary

Addresses

Primary practice location

111 Dean Dr Ste 1N
Tenafly, NJ 07670-2762

Mailing address

111 Dean Dr Ste 1N
Tenafly, NJ 07670-2764
Phone (201) 503-7173

Other practice location 1

160 LeGrand Ave
Northvale, NJ 07647-2403
Phone (201) 503-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050322000766 NJ Practitioner - Physical Therapist in Private Practice 0840246930 Reassigns benefits to 1 organization
I20260128002894 FL Practitioner - Physical Therapist in Private Practice 0840246930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Body Rehabilitation LLCGroup PAC ID 0749401016, 11 clinicians

Practice addresses (Care Compare)

111 Dean Dr
Suite 1N
Tenafly, NJ 07670-2764
Phone (201) 503-7173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
400A00737000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Dec 5, 2025 Accepting new patients
Balance and Concussion Therapy Center, LLC Physical Therapist CurrentSince Aug 28, 2022 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Mar 1, 2014 Accepting new patients
Columbia Doctors of New Jersey, P. C. Past Accepting new patients

Locations

160 Legrand Ave
Northvale, NJ 07647
Phone (201) 503-7173

1086 Teaneck Rd
Ste 3E
Teaneck, NJ 07666
Phone (201) 575-6291

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1215910393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEAN DR STE 1N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702764",
            "telephone_number": "201-503-7173",
            "fax_number": "201-503-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEAN DR STE 1N",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "076702762",
            "telephone_number": "201-503-7173",
            "fax_number": "201-503-7177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 LeGrand Ave",
            "address_purpose": "LOCATION",
            "city": "Northvale",
            "state": "NJ",
            "postal_code": "076472403",
            "country_code": "US",
            "telephone_number": "201-503-7173",
            "fax_number": "201-503-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWY",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "400A00737000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tenafly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.