Individual provider Active NPI

Jeanette R. Bartoline, P.T.

  • Physical Therapist
  • Hastings on Hudson, NY
National Provider Identifier
1386188605
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
018113-1 Issued in NY
Practice address
185 Old Broadway
Hastings on Hudson, NY 10706-3801
Phone
(914) 478-3700
NPI assigned
Dec 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 018113-1 NY Primary

Addresses

Primary practice location

185 Old Broadway
Hastings on Hudson, NY 10706-3801

Mailing address

307 International Cir
Suite 100
Hunt Valley, MD 21030-1321
Phone (410) 667-7200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
018113-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1386188605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 INTERNATIONAL CIR",
            "address_2": "SUITE 100",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301321",
            "telephone_number": "410-667-7200",
            "fax_number": "888-502-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD BROADWAY",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063801",
            "telephone_number": "914-478-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLINE",
        "first_name": "JEANETTE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "018113-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings on Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.