Individual provider Active NPI

Jennifer Collard, PT

  • Physical Therapist
  • New Milford, NJ
National Provider Identifier
1538248224
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01131700 Issued in NJ
Practice address
219 Richmond Ave
New Milford, NJ 07646-2517
Phone
(201) 907-3150
Fax
(201) 907-0404
NPI assigned
Nov 3, 2006
Last updated
Nov 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01131700 NJ Primary

Addresses

Primary practice location

219 Richmond Ave
New Milford, NJ 07646-2517

Mailing address

219 Richmond Ave
New Milford, NJ 07646-2517
Phone (201) 907-3150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Health and Awareness Current Accepting new patients
Grove, Andersen, Ghiringhelli Physical Therapy a Professional Co Physical Therapist Past Accepting new patients
Madison Spine and Physicaltherapy, Inc. Physical Therapist Past Accepting new patients
Madison Spine Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259539200000",
    "number": "1538248224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RICHMOND AVE",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462517",
            "telephone_number": "201-907-3150",
            "fax_number": "201-907-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLARD",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2009-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01131700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.