Jenell Nicole Duxbury, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

046367 Issued in NY

Practice address

2111 Sawyer Dr
Niagara Falls, NY 14304-2975

Phone

(716) 731-2195

Fax

(716) 731-4862

NPI assigned

Sep 22, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1265048573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 LOVE RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722430",
            "telephone_number": "716-239-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 SAWYER DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042975",
            "telephone_number": "716-731-2195",
            "fax_number": "716-731-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUXBURY",
        "first_name": "JENELL",
        "middle_name": "NICOLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Dunbar
• Nicole Dunbar
• Mary Victoria Duncan, FNP-BC
• Aaron James Dunets, PHARMD
• Stephanie Dust
• John G Dyster, M.D.
• Justine Eadie
• Heather Eagen, LPN
• Ear Nose & Throat Associate of Wny PC
• Jennifer Earsing, NP

• Physical Therapist in Niagara Falls, NY
• Providers in Niagara Falls, 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 Sep 22, 2020; 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.