Active NPI
Jennifer Gooch Avery, PT
- Physical Therapist
- Orleans, MA
National Provider Identifier
1316253164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10753
- Practice address
- 65 Old Colony Way
Orleans Marketplace
Orleans, MA 02653-3213 - Phone
- (508) 240-7203
- Fax
- (508) 240-1761
- NPI assigned
- Aug 30, 2010
- Last updated
- Oct 6, 2014
- 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 | 10753 | MA | Primary |
Addresses
Primary practice location
65 Old Colony Way
Orleans Marketplace
Orleans, MA 02653-3213
Mailing address
26 Doane Rd
Harwich Port, MA 02646-1529
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 |
|---|---|---|---|
| 10753 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Hospital of the Cape and Islands, Corporation | Past | Accepting new patients | |
| Jay E Rosenfeld MD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Hospital
- Duxbury, MA
- NPI 1760676126
-
dba Spaulding Rehabilitation Hospital - Cape Cod
- Rehabilitation Hospital
- E Sandwich, MA
- NPI 1265489736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412553600000",
"number": "1316253164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 DOANE RD",
"city": "HARWICH PORT",
"state": "MA",
"postal_code": "026461529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 OLD COLONY WAY",
"address_2": "ORLEANS MARKETPLACE",
"city": "ORLEANS",
"state": "MA",
"postal_code": "026533213",
"telephone_number": "508-240-7203",
"fax_number": "508-240-1761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "JENNIFER",
"middle_name": "GOOCH",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2014-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orleans, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.