Individual provider Active NPI

Jeffrey M McGivern, PT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1326103375
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
024250-1 Issued in NY
Practice address
5 Fisher Rd
Rochester, NY 14624-3444
Phone
(585) 247-0270
Fax
(585) 247-0294
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024250-1 NY Primary

Addresses

Primary practice location

5 Fisher Rd
Rochester, NY 14624-3444

Mailing address

383 White Spruce Blvd
Rochester, NY 14623-1603
Phone (585) 442-6067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000777 NY Practitioner - Physical Therapist in Private Practice 2062489552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shuman Physical Therapy Associates PCGroup PAC ID 6709869209, 142 clinicians

Practice addresses (Care Compare)

5 Fisher Rd
Rochester, NY 14624-3444
Phone (585) 247-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024250NYMDPharmacist
024250-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist CurrentSince Apr 1, 2013 Accepting new patients

Locations

383 White Spruce Blvd
Rochester, NY 14623
Phone (585) 442-6067

1655 Elmwood Ave
Ste 130
Rochester, NY 14620
Phone (585) 442-9110

5 Fisher Rd
Rochester, NY 14624
Phone (585) 247-0270

1404 Portland Ave
Rochester, NY 14621
Phone (585) 266-1940

2621 Culver Rd
Rochester, NY 14609
Phone (585) 295-5476

2000 Empire Blvd
Bldg 2
Webster, NY 14580
Phone (585) 671-1030

Interoperability endpoints

  • Direct secure messaging: jmcgivern@lpt1.direct.rrhio.org
  • Direct secure messaging: lattimoreptofirondequoit@lpt1.direct.rrhio.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1326103375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-442-6067",
            "fax_number": "585-442-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FISHER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146243444",
            "telephone_number": "585-247-0270",
            "fax_number": "585-247-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGIVERN",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024250-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.