Dana Jahn, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010122-1 Issued in NY

Practice address

3075 Veterans Memorial Hwy Ste 101
Ronkonkoma, NY 11779

Phone

(631) 805-2850

Fax

(631) 670-6475

NPI assigned

May 5, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Dynamic Physical Therapy Assoc.PLLC

  • Physical Therapist
  • Huntington, NY
  • NPI 1780846154
  Medicare reassignment NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1386692887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 GANNET DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254929",
            "telephone_number": "631-360-9075",
            "fax_number": "631-543-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VETERANS MEMORIAL HWY STE 101",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11779",
            "telephone_number": "631-805-2850",
            "fax_number": "631-670-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Townline Road",
            "address_2": "Suite 182",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "117882830",
            "country_code": "US",
            "telephone_number": "631-360-9075",
            "fax_number": "631-360-9126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHN",
        "first_name": "DANA",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "010122-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Mobility Physical Therapy P.C.
• Island Neurology PC
• Belinda Izevbizua
• Osahon Izevbizua
• Osarose Izevbizua
• Ankit A Jain, DDS
• Mark Jakubowski
• Pamela P Jalloh, LPN
• James M. Shinol, Acupuncture, PC
• Jeffrey Muroff DPM PC

• Physical Therapist in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.