Ejona Jeblonski, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

019847 Issued in PA

Practice address

1919 Chestnut St Ste 104
Philadelphia, PA 19103-3456

Phone

(215) 564-1110

Fax

(215) 564-1130

NPI assigned

Aug 28, 2007

Last updated

Jan 25, 2010By the provider in NPPES

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

Other names 1

• Ejona Budo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

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.

• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  NPD (past)
• Boston Sports Medicine Inc

  • Physical Therapist
  • Allston, MA
  • NPI 1245217546
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1245424803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 CHESTNUT ST STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033456",
            "telephone_number": "215-564-1110",
            "fax_number": "215-564-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHESTNUT ST STE 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191033456",
            "telephone_number": "215-564-1110",
            "fax_number": "215-564-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEBLONSKI",
        "first_name": "EJONA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "019847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EJONA",
            "last_name": "BUDO",
            "credential": "PHYSICAL THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey NMN Jeannot, MS
• Latoya Jeanpierre, MD
• Jeans Radiology Associates (PA Open MRI @ Roosevelt Plaza)
• Jeans Radiology Associates (PA Diagnostic & Women's Imaging Center)
• Natasha Jeanty, LPC
• Gregory Jeblonski, DPT
• Julie Ann Jebran, RDN
• Jeemi Inc (Davis Pharmacy Inc)
• Rachel Jeff-Macauley
• Steven Roland Jefferies, DDS

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.