Active NPI
Jessie Vangor, PT
- Physical Therapist
- Yorktown Heights, NY
National Provider Identifier
1427631241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2051 Baldwin Rd Ste 101
Yorktown Heights, NY 10598-4047 - Phone
- (914) 302-2190
- NPI assigned
- Apr 29, 2021
- Last updated
- Apr 29, 2021
- 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 | Primary |
Addresses
Primary practice location
2051 Baldwin Rd Ste 101
Yorktown Heights, NY 10598-4047
Mailing address
5 Carey St
Mahopac, NY 10541-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 Route 312
Suite 301B
Brewster, NY 10509-2377
Phone (845) 279-9288
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047587 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aon Physical Therapy and Wellness, PLLC | Physical Therapist | Current | Accepting new patients |
| Soaring Eagle Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
185 Route 312
Ste 301B
Brewster, NY 10509
Phone (845) 279-9288
953 Route 6
Ste 202
Mahopac, NY 10541
Phone (845) 208-0963
Organizations & group practices 3
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.
-
- Physical Therapist
- Brewster, NY
- NPI 1447476577
-
- Physical Therapist
- Yorktown Heights, NY
- NPI 1346285194
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1427631241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 CAREY ST",
"city": "MAHOPAC",
"state": "NY",
"postal_code": "105411901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 BALDWIN RD STE 101",
"city": "YORKTOWN HEIGHTS",
"state": "NY",
"postal_code": "105984047",
"telephone_number": "914-302-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANGOR",
"first_name": "JESSIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.