Active NPI
Jay D Kauffman, PT
- Physical Therapist
- Pennsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006662-L
- Practice address
- 2767 Geryville Pike
Pennsburg, PA 18073-2306 - Phone
- (215) 679-0105
- Fax
- (215) 679-0722
- NPI assigned
- Mar 25, 2006
- Last updated
- Jan 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | PT006662-L | PA | Primary |
Addresses
Primary practice location
2767 Geryville Pike
Pennsburg, PA 18073-2306
Mailing address
33 Douglass Rd
Lansdale, PA 19446-1450
Phone (215) 997-3951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017868680004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2767 Geryville Pike
Pennsburg, PA 18073-2306
Phone (215) 679-0105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006662-L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Perk Physical Therapy & Sports Rehab., Inc | Physical Therapist | Current | Accepting new patients |
| Southeastern Health Services of Pennsylvania, LLC | Past | Accepting new patients |
Locations
2767 Geryville Pike
Pennsburg, PA 18073
Phone (215) 679-0105
2771 Geryville Pike
Pennsburg, PA 18073
Phone (215) 679-0105
Organizations & group practices 2
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.
-
dba New Hope Physical Therapy & Sports Rehab., Inc
- Physical Therapist
- Pennsburg, PA
- NPI 1497700710
-
dba AccentCare Health of Pennsylvania
- Home Health Agency
- Bristol, PA
- NPI 1518901610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1407816192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 DOUGLASS RD",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194461450",
"telephone_number": "215-997-3951",
"fax_number": "215-997-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2767 GERYVILLE PIKE",
"city": "PENNSBURG",
"state": "PA",
"postal_code": "180732306",
"telephone_number": "215-679-0105",
"fax_number": "215-679-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFFMAN",
"first_name": "JAY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006662-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017868680004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pennsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.