NPIMap

Organization Active NPI

JCR Physical Medicine Group

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1528450244
Registry record updated Mar 4, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004092L Issued in PA
Legal business name
JCR PHYSICAL MEDICINE GROUP
Practice address
3000 N 22ND St
Philadelphia, PA 19132-1501
Phone
(215) 223-6549
Fax
(215) 223-3670
NPI assigned
Mar 4, 2015
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Jennifer Guarnaccia
Title
Partner
Phone
(215) 223-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004092L PA Primary

Addresses

Primary practice location

3000 N 22ND St
Philadelphia, PA 19132-1501

Mailing address

PO Box 755
Ambler, PA 19002-0755
Phone (215) 836-8500

Other names 1

  • Progressive Rehab, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1528450244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 755",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190020755",
            "telephone_number": "215-836-8500",
            "fax_number": "215-836-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191321501",
            "telephone_number": "215-223-6549",
            "fax_number": "215-223-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR PHYSICAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "GUARNACCIA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "215-223-6548"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004092L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Rehab, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.