Active NPI
Kandis Jones, PT, DPT, PCS
- Physical Therapist
- Allentown, PA
National Provider Identifier
1639694201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 850 S 5TH St
Allentown, PA 18103-3308 - Phone
- (610) 776-3578
- NPI assigned
- Aug 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT023899 | PA | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
850 S 5TH St
Allentown, PA 18103-3308
Mailing address
850 S 5TH St
Allentown, PA 18103-3308
Phone (610) 776-3578
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023899 | PA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639694201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181033308",
"telephone_number": "610-776-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KANDIS",
"name_prefix": "Mrs.",
"credential": "PT, DPT, PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "PA",
"license": "PT023899",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.