Stephan Jean-Pierre

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

01405301 Issued in NY

Practice address

13A Dickinson Ave
Nyack, NY 10960-2914

Phone

(845) 353-7000

NPI assigned

Jan 3, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1528877677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ROSE RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13A DICKINSON AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109602914",
            "telephone_number": "845-353-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "STEPHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "01405301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Jacobs, RN
• Diana J Jacobson, LCSW
• Robyn Jacobson, PSY.D.
• Jonathan Jakus, MD
• Donald Dale James, LCSW, CASAC
• Rosemary Jennings, PH.D.
• JM Fitness and Wellness, LLC
• Jonathan J Jakus & Nicholas Klein PTR
• Jonathan J. Jakus, M.D., P.C.
• Jill G Jones-Soderman, LCSW

• Physical Therapy Assistant in Nyack, NY
• Providers in Nyack, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.