Organization Active NPI

JMC Physical Therapy PC

  • Physical Therapist
  • Yonkers, NY
National Provider Identifier
1295343499
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JMC PHYSICAL THERAPY PC
Practice address
909 Midland Ave, Ground Floor
Yonkers, NY 10704-1092
Phone
(646) 713-2575
Fax
(844) 573-8178
NPI assigned
Jul 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacky Mari CervantesNPI 1457885295
Title
Doctor of Physical Therapy/ Owner
Phone
(646) 713-2575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

909 Midland Ave, Ground Floor
Yonkers, NY 10704-1092

Mailing address

1333A North Ave # 717
New Rochelle, NY 10804-2120
Phone (845) 553-4607

Other identifiers 1

IdentifierTypeStateIssuer
038891OtherNYSTAFF PROVIDER LIC. NO.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1295343499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333A NORTH AVE # 717",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042120",
            "telephone_number": "845-553-4607",
            "fax_number": "844-573-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MIDLAND AVE, GROUND FLOOR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107041092",
            "telephone_number": "646-713-2575",
            "fax_number": "844-573-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMC PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "JACKY MARI",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL  THERAPY/ OWNER",
        "authorized_official_telephone_number": "646-713-2575"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAFF PROVIDER LIC. NO.",
            "identifier": "038891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.