Erick F Jackowsky, P.T., D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00234100 Issued in NJ

Practice address

715 Newark Pompton Tpke
Pompton Plains, NJ 07444-1330

Phone

(973) 835-6115

Fax

(973) 835-6861

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy Services

  • Physical Therapist
  • Pompton Plains, NJ
  • NPI 1194207092
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1376555789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441330",
            "telephone_number": "973-835-6115",
            "fax_number": "973-835-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 NEWARK POMPTON TPKE",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441330",
            "telephone_number": "973-835-6115",
            "fax_number": "973-835-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOWSKY",
        "first_name": "ERICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00234100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Based Physiciansassociates
• House Physicians of Chilton, LLC
• Keegan Theresa Introna, OTR/L
• Benjamin Joseph Isola, PT, DPT
• J&J Pediatrics, LLC
• Jaclyn Brower Physical Therapy LLC
• Elizabeth Jacob
• Daria Jannuzzi, M.A., CCC-SLP
• Jennifer Holak LLC
• Donald I. Jones, DDS

• Physical Therapist in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.