Individual provider Active NPI

Jesse Alexander Garn, PT

  • Physical Therapist
  • Marcellus, NY
National Provider Identifier
1245017706
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
050728 Issued in NY
Practice address
37 South St
Marcellus, NY 13108-1359
Phone
(315) 673-1007
NPI assigned
Sep 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 050728 NY Primary

Addresses

Primary practice location

37 South St
Marcellus, NY 13108-1359

Mailing address

3001 Cherry Valley Tpke
Marcellus, NY 13108-9643
Phone (315) 406-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231113001556 NY Practitioner - Physical Therapist in Private Practice 8820445877 Reassigns benefits to 1 organization
I20240206004811 NJ Practitioner - Physical Therapist in Private Practice 8820445877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Home Therapy LLC 50 clinicians

Practice addresses (Care Compare)

70 S Orange Ave
Suite 220
Livingston, NJ 07039-4920
Phone (917) 751-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050728NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Home Therapy LLC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Professional Physical Therapy & Training, LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Rebound Sports and Orthopedic Physical Therapy, P.C. Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

70 S Orange Ave
Ste 220
Livingston, NJ 07039
Phone (973) 626-2350

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1245017706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 CHERRY VALLEY TPKE",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131089643",
            "telephone_number": "315-406-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SOUTH ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081359",
            "telephone_number": "315-673-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARN",
        "first_name": "JESSE",
        "middle_name": "ALEXANDER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marcellus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.