Active NPI
Melissa Jean Jarzynski, M.S, P.T
- Physical Therapist
- North Salem, NY
National Provider Identifier
1295934222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 028298-1
- Practice address
- 955 Peach Lake Rd
North Salem, NY 10560-1321 - Phone
- (914) 874-6932
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 028298-1 | NY | Primary |
| Physical Therapist | 225100000X | 40QA01272400 | NJ |
Addresses
Primary practice location
955 Peach Lake Rd
North Salem, NY 10560-1321
Mailing address
60 June Rd
PO Box 29
North Salem, NY 10560-1713
Phone (914) 772-3121
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01272400 | NJ | MD | Physical Therapist |
| 028298-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1295934222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 JUNE RD",
"address_2": "PO BOX 29",
"city": "NORTH SALEM",
"state": "NY",
"postal_code": "105601713",
"telephone_number": "914-772-3121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 PEACH LAKE RD",
"city": "NORTH SALEM",
"state": "NY",
"postal_code": "105601321",
"telephone_number": "914-874-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARZYNSKI",
"first_name": "MELISSA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "M.S, P.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "028298-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01272400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Salem, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.