Janice D Congdon, P.T.
Individual provider Active NPI Physical Therapist · Jacksonville, NY
NPI 1508947144 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508947144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004048-1 (NY)
- Practice address
- 1859 Trumansburg Rd.
Jacksonville, NY 14854-0122 - Phone
- (607) 387-5729
- Fax
- (607) 387-5315
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004048-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth I.Guthrie | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004048-1 | NY | Yes |
Addresses
Primary practice location
1859 Trumansburg Rd.
Jacksonville, NY 14854-0122
Mailing address
1859 Trumansburg Rd.
PO Box 122
Jacksonville, NY 14854-0122
Phone (607) 387-5729
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 803886 | Other | NY | ACN GROUP |
Other providers in Jacksonville, NY
All providers in Jacksonville, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.