Active NPI
Jane W Dingman, P.T.
- Physical Therapist
- Fort Drum, NY
National Provider Identifier
1295726818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006092-1
- Practice address
- 11050 Mt Belvedere Blvd
USA Meddac / Credentials
Fort Drum, NY 13602-5004 - Phone
- (315) 772-6214
- Fax
- (315) 774-4065
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- 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 Therapist | 225100000X | 006092-1 | NY | Primary |
Addresses
Primary practice location
11050 Mt Belvedere Blvd
USA Meddac / Credentials
Fort Drum, NY 13602-5004
Mailing address
5075 South Shore Road
Pob 310
Three Mile Bay, NY 13693
Phone (315) 783-5426
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 |
|---|---|---|---|
| 006092-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1295726818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5075 SOUTH SHORE ROAD",
"address_2": "POB 310",
"city": "THREE MILE BAY",
"state": "NY",
"postal_code": "13693",
"telephone_number": "315-783-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 MT BELVEDERE BLVD",
"address_2": "USA MEDDAC / CREDENTIALS",
"city": "FORT DRUM",
"state": "NY",
"postal_code": "136025004",
"telephone_number": "315-772-6214",
"fax_number": "315-774-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGMAN",
"first_name": "JANE",
"middle_name": "W",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006092-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Drum, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.