Jennifer Fernandez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

045550 Issued in NY

Practice address

55 Bryant Ave FL 2
Roslyn, NY 11576-1139

Phone

(631) 665-4560

Fax

(631) 665-7213

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aura Physical Therapy PLLCGroup PAC ID 3678979754, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aura Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1487222998

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Panetta Physical Therapy, PC

  • Specialist
  • Ronkonkoma, NY
  • NPI 1144262601

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1235755828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE FL 2",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "631-665-4560",
            "fax_number": "631-665-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Arthur Feffer, M.D.
• Carla Sue Feinstein, ED.D.
• Haley W Feit, O.D.
• Elaine Joyce Feldman, LCSW
• Pradel Fils Felix, AGPCNP-BC
• Jeanine Carroll Ferrone, PT,MS
• Stanley Raymond Fine, M.D.
• Ann Fioresi, APRN
• Flower Hill Dental Group
• Erin Foley, PA

• Physical Therapist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.