JP Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JP PHYSICAL THERAPY PLLC

Practice address

1010 Franklin St
Ogdensburg, NY 13669-3368

Phone

(315) 528-0024

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Jordan Pedersen, PTNPI 1679906028

Title

PT/Owner

Phone

(315) 528-0024

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jordan Pedersen, PT

  • Physical Therapist
  • Ogdensburg, NY
  • NPI 1679906028
  NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1346006616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9745 STATE HIGHWAY 37",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694110",
            "telephone_number": "315-528-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 FRANKLIN ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693368",
            "telephone_number": "315-528-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "315-528-0024",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela E Johnson, FNP
• Jesse J Johnson, PEER SUPPORT SPECIAL
• Jessica Lynn Johnson
• Mary E Johnson, RN
• Glenda Faye Jones, LCSW-R
• Mariah Kaiser, LPN
• Hung Cheong Kam, RN
• Julie L Kampnich
• Karen Kantor, DO
• Aleksandr Karabats

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.