Active NPI
John Patrick Jeffers, L.P.T.A.
- Physical Therapy Assistant
- Cleveland, OH
National Provider Identifier
1265566442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 03922
- Practice address
- 1730 W 25TH St
3E
Cleveland, OH 44113-3108 - Phone
- (216) 363-2288
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 03922 | OH | Primary |
Addresses
Primary practice location
1730 W 25TH St
3E
Cleveland, OH 44113-3108
Mailing address
1512 Hunters Chase Dr
3B
Westlake, OH 44145-6163
Phone (440) 567-2065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03922 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265566442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 HUNTERS CHASE DR",
"address_2": "3B",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441456163",
"telephone_number": "440-567-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"address_2": "3E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133108",
"telephone_number": "216-363-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "L.P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "03922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.