J P D Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017840 Issued in NY

Legal business name

J P D PHYSICAL THERAPY, P.C.

Practice address

21 Judy Ter
Massapequa Park, NY 11762-3724

Phone

(516) 721-3167

Fax

(516) 795-1520

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Paul Dabovich II, P.T.NPI 1033209358

Title

President

Phone

(516) 721-3167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Joseph Paul Dabovich II, P.T.

  • Physical Therapist
  • Massapequa Park, NY
  • NPI 1033209358
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1396919122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JUDY TER",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623724",
            "telephone_number": "516-721-3167",
            "fax_number": "516-795-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JUDY TER",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623724",
            "telephone_number": "516-721-3167",
            "fax_number": "516-795-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J P D PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "DABOVICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-721-3167",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ellen Howell-Sondey, RD
• Sherri Hughes, M.S. CCC-SLP
• Jessica Innocent - Johnson
• Inspire Words Speech Therapy PLLC.
• Mary Irwin, R.N.
• J-D P.T. Incorporated
• Michael Jacobs Sr.
• Emily Jaramillo, OT
• Julie Jean Francois
• Jo-Ann Parolisi, LCSW PLLC

• Physical Therapist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Apr 14, 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.