Jocelyn Pidal Tanty, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033701 Issued in NY

Practice address

160 East Main Street
Genesis - Bon Secours Community Hospital/St. Josephs
Port Jervis, NY 12771-0000

Phone

(845) 858-7000

NPI assigned

Jun 28, 2011

Last updated

Jun 28, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1255627394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 EAST MAIN STREET",
            "address_2": "GENESIS - BON SECOURS COMMUNITY HOSPITAL/ST. JOSEPHS",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127710000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EAST MAIN STREET",
            "address_2": "GENESIS - BON SECOURS COMMUNITY HOSPITAL/ST. JOSEPHS",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127710000",
            "telephone_number": "845-858-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTY",
        "first_name": "JOCELYN",
        "middle_name": "PIDAL",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Port Jervis, NY
• Providers in Port Jervis, 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 28, 2011; 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.