Individual provider Active NPI

Jane C Redmond, PTA, GCFP, EMT

  • Physical Therapy Assistant
  • Johnstown, NY
National Provider Identifier
1588935340
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
000742-1 Issued in NY
Practice address
2-8 W Main St
Johnstown, NY 12095-2308
Phone
(518) 762-8215
Fax
(518) 762-2972
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 377948 NY
Developmental Therapist 222Q00000X 000742-1 NY
Physical Therapy Assistant 225200000X 000742-1 NY Primary

Addresses

Primary practice location

2-8 W Main St
Johnstown, NY 12095-2308

Mailing address

2-8 W Main St
Johnstown, NY 12095-2308
Phone (518) 762-8215

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)
Not enrolled
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
000742-1NYMDPsychoanalyst
377948NYMDIntermediate Emergency Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1588935340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215",
            "fax_number": "518-762-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-8 W MAIN ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952308",
            "telephone_number": "518-762-8215",
            "fax_number": "518-762-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "JANE",
        "middle_name": "C",
        "credential": "PTA, GCFP, EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "NY",
            "license": "377948",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "000742-1",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.