Jared Debenedictus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039598 Issued in NY

Practice address

798 Route 9 Ste B
Fishkill, NY 12524-1394

Phone

(845) 896-3750

Fax

(845) 896-5728

NPI assigned

Dec 2, 2015

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)

Enrolled

State licenses

Practice roles

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.

• Debenedictus Physical Therapy

  dba Advanced Movement Therapy

  • Physical Therapy Clinic/Center
  • Rhinebeck, NY
  • NPI 1639808454
  NPD Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1629443650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 ROUTE 9 STE B",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241394",
            "telephone_number": "845-896-3750",
            "fax_number": "845-896-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 ROUTE 9 STE B",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241394",
            "telephone_number": "845-896-3750",
            "fax_number": "845-896-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENEDICTUS",
        "first_name": "JARED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bohdan Darnobid, PHYSICIAN ASSISTANT
• Akhaya Kumar Das, MD,FACP.
• David Kerner DO PC
• Leland De Evoli, DO
• Tina Lee De Nota, RN
• Karen E Decrosta, P.T.
• Louis Patrick Degiacomo, DDS
• Stacy Dejonge, RN
• Danielle A Deleon, OTR/L
• Elizabeth Delessio-Neubauer, PSY.D

• Physical Therapist in Fishkill, NY
• Providers in Fishkill, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.