Michelle Lee Jadlocki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019459 Issued in PA

Practice address

929 14TH St
Huntingdon, PA 16652-3028

Phone

(814) 643-0337

Fax

(814) 643-9231

NPI assigned

Jul 30, 2008

Last updated

Jul 30, 2008By the provider in NPPES

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 PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C&S Contract Speech Language Pathology Services, Inc.

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  • NPI 1740669449
  NPD

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1386800332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WOODLAND BLVD",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159461433",
            "telephone_number": "814-360-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 14TH ST",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166523028",
            "telephone_number": "814-643-0337",
            "fax_number": "814-643-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADLOCKI",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. C. Blair Memorial Hospital (Penn Highlands QCare Huntingdon)
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• JC Blair Medical Services Inc. (Orthopedic Care Center Durable Medical Supplies)
• JC Blair Medical Services Inc. (Penn Highlands Medical Services Inc Specialty Care Annex)
• JC Blair Medical Services Inc.

• Physical Therapist in Huntingdon, PA
• Providers in Huntingdon, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.