Individual provider Active NPI

Jaclyn Schwimmer

  • Physical Therapist
  • New York, NY
National Provider Identifier
1538679691
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040830 Issued in NY
Practice address
248 W 80TH St FL 5
New York, NY 10024-7608
Phone
(212) 874-1550
Fax
(212) 874-1599
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 040830 NY Primary

Addresses

Primary practice location

248 W 80TH St FL 5
New York, NY 10024-7608

Mailing address

207 W 79TH St
New York, NY 10024-6283
Phone (212) 874-1550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171215000916 NY Practitioner - Physical Therapist in Private Practice 9638437890 Reassigns benefits to 1 organization
I20221221000063 PA Practitioner - Physical Therapist in Private Practice 9638437890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 New Britain Rd
BLDG 400
Doylestown, PA 18901-2788
Phone (215) 348-0666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Rehabilitation and Sports Medicine Center Inc Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
Recovery Physical Therapy, PC Physical Therapist CurrentSince Nov 30, 2017 Accepting new patients

Locations

1385 Boston Post Rd
Larchmont, NY 10538
Phone (914) 315-1800

200 Park Ave
New York, NY 10166
Phone (212) 953-9494

118 E 28th St
Rm 208
New York, NY 10016
Phone (646) 654-7835

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1538679691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246283",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 80TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100247608",
            "telephone_number": "212-874-1550",
            "fax_number": "212-874-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIMMER",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.