Active NPI
Jason S Gumprecht, PT
- Physical Therapist
- Johnson City, NY
National Provider Identifier
1457600546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035275
- Practice address
- 401 Main Street
Johnson City, NY 13790-2018 - Phone
- (607) 798-8800
- Fax
- (607) 798-8801
- NPI assigned
- Sep 5, 2012
- Last updated
- Sep 5, 2012
- Sex
- Male
- 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 | 035275 | NY | Primary |
Addresses
Primary practice location
401 Main Street
Johnson City, NY 13790-2018
Mailing address
601 Gates Road
Suite 3
Vestal, NY 13850-2288
Phone (607) 584-7389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 Mystic CT
Cliffwood, NJ 07721-1501
Phone (732) 581-8688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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
- Cliffwood, NJ
- NPI 1255029898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1457600546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 GATES ROAD",
"address_2": "SUITE 3",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502288",
"telephone_number": "607-584-7389",
"fax_number": "607-772-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN STREET",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902018",
"telephone_number": "607-798-8800",
"fax_number": "607-798-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUMPRECHT",
"first_name": "JASON",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.