Organization Active NPI

Jacki H Sloan PT, PLLC

  • Physical Therapist
  • New York, NY
National Provider Identifier
1467729905
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004986-1 Issued in NY
Legal business name
JACKI H SLOAN PT, PLLC
Practice address
4 E 84TH St
New York, NY 10028-0404
Phone
(212) 249-1356
Fax
(212) 772-8673
NPI assigned
Nov 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dr. Jacki H Sloan, DPT
Title
PT,DPT
Phone
(212) 249-1356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 004986-1 NY Primary

Addresses

Primary practice location

4 E 84TH St
New York, NY 10028-0404

Mailing address

4 E 84TH St
New York, NY 10028-0404
Phone (212) 249-1356

National Provider Directory

National Provider Directory

Locations

4 E 84th St
New York, NY 10028
Phone (212) 249-1356

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1467729905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280404",
            "telephone_number": "212-249-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E 84TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280404",
            "telephone_number": "212-249-1356",
            "fax_number": "212-772-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKI H SLOAN PT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JACKI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PT,DPT",
        "authorized_official_telephone_number": "212-249-1356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "004986-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.