To the Max Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

031287 Issued in NY

Legal business name

TO THE MAX PHYSICAL THERAPY, PC

Practice address

15 Jericho Tpke
New Hyde Park, NY 11040-4515

Phone

(502) 314-6584

Fax

(516) 216-1905

NPI assigned

Jun 20, 2012

Organization subpart

No

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

Authorized official

Name

Shirley M Jerkens, MSPTNPI 1932137254

Title

Owner

Phone

(502) 314-6584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley M Jerkens, PT

  • Pediatric Physical Therapist
  • New Hyde Park, NY
  • NPI 1932137254
  NPD (past) Authorized official

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1477816924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ENVOY CIR",
            "address_2": "SUITE 1204",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991963",
            "telephone_number": "502-314-6584",
            "fax_number": "516-216-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 JERICHO TPKE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404515",
            "telephone_number": "502-314-6584",
            "fax_number": "516-216-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE MAX PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "JERKENS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-314-6584",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Tischler
• Lindsay Tishberg, MD
• Nima Tishbi
• Jacqueline Marie Tittl, NP
• Nayan Tiwary
• Michelle Tobin, M.D.
• Rommy Marjorie Todman Joseph, FNP
• Scarlett Tohme, MD
• Frank Anthony Tomao, M.D.
• Maria B Tomas, MD

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.