Brian Jaskolka, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015842 Issued in PA

Practice address

850 S Valley Forge Rd Unit Af-2D
Lansdale, PA 19446-4261

Phone

(267) 649-7658

Fax

(267) 263-2997

NPI assigned

Aug 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orthopedic and Sports Physical Therapy Services, Inc.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  Medicare reassignment NPD
• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093

  PA

  Medicare reassignment NPD
• Dynamic Therapy Services, LLC

  • Occupational Therapist
  • Rehoboth Beach, DE
  • NPI 1225637051

  Physical Therapist

  NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502150400000",
    "number": "1497270797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL BUILDING",
            "address_2": "1265 WAYNE AVE, SUITE 308",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-801-8095",
            "fax_number": "724-801-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S VALLEY FORGE RD UNIT AF-2D",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194464261",
            "telephone_number": "267-649-7658",
            "fax_number": "267-263-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOLKA",
        "first_name": "BRIAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isd Renal Inc
• Moonsad Islam
• Brianna Jacobs, PA-C
• Ricky Jacobson, RN, MSN
• Traci Lynn Jansen, S.T.
• Bonifacio Morales Javier, D.D.S.
• Jeffrey Wachtel, DPM
• Priya E Jesudason, DDS
• Francis Jeyaraj, MD
• Ram M Jhingan, MBBS

• Physical Therapist in Lansdale, PA
• Providers in Lansdale, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.