Active NPI
Jennifer Ann Page
- Physical Therapist
- Hawley, PA
National Provider Identifier
1407455942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024624
- Practice address
- 74 Welwood Ave Ste 101
Hawley, PA 18428-1577 - Phone
- (570) 226-4119
- NPI assigned
- Oct 24, 2020
- Last updated
- Oct 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024624 | PA | Primary |
Addresses
Primary practice location
74 Welwood Ave Ste 101
Hawley, PA 18428-1577
Mailing address
1305 Schlager St
Scranton, PA 18504-1548
Phone (570) 878-2638
Other practice location 1
209 Roberts Rd
Pittston, PA 18640-3111
Phone (570) 655-2891
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024624 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603497600000",
"number": "1407455942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 SCHLAGER ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185041548",
"telephone_number": "570-878-2638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 WELWOOD AVE STE 101",
"city": "HAWLEY",
"state": "PA",
"postal_code": "184281577",
"telephone_number": "570-226-4119"
}
],
"practiceLocations": [
{
"address_1": "209 Roberts Rd",
"address_purpose": "LOCATION",
"city": "Pittston",
"state": "PA",
"postal_code": "186403111",
"country_code": "US",
"telephone_number": "570-655-2891",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-24",
"last_updated": "2020-10-24",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "024624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawley, PA
- Carl Dennis Muehlbauer
- Amy M Neal, OD
- Michael R Neal, OD
- Frank B Nicolosi, PHARM.D.
- No Limits Physical Therapy & Sports Medicine Center, LLC
- Erin Elizabeth Panzella, DPT
- Pamela J Peet, PT
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #00053)
- Personaltouronline,Inc. (Eyedeal Vision Center)
- Jason Louis Phillips, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.