Jamie J Iannaco, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01296100 Issued in NJ

Practice address

429 White Horse Pike
Atco, NJ 08004-2227

Phone

(856) 753-1111

Fax

(856) 753-1454

NPI assigned

May 16, 2011

Last updated

Jul 23, 2016By the provider in NPPES

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Twin Boro Physical Therapy Associates PA

  dba Twin Boro Physical Therapy

  • Physical Therapist
  • Clark, NJ
  • NPI 1811937527
  Medicare reassignment NPD
• Twin Boro Physical Therapy Associates, PA

  dba Twin Boro Physical Therapy

  • Occupational Therapist
  • Newark, NJ
  • NPI 1659874857
  NPD
• Advanced Spine and Pain, LLC

  dba Relievus

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116
  NPD (past)
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1649563297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 PESTLETON RD",
            "city": "WATERFORD WORKS",
            "state": "NJ",
            "postal_code": "080892120",
            "telephone_number": "856-767-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 WHITE HORSE PIKE",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080042227",
            "telephone_number": "856-753-1111",
            "fax_number": "856-753-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANNACO",
        "first_name": "JAMIE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01296100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hopes Promise Respite LLC
• Hopes Promise Respite LLC
• Karen A Hopkins-Brown, MSW LCSW
• Wanda Howe
• Elizabeth Hunter
• Integrated Foot and Ankle Specialists of NJ LLC
• Jersey Eye Associates LLC
• Wilhemina Tameka Johnson-Wiggins, RN, MSN, APN, C.
• Lisa Toni Jones, L.P.N.
• Rasheeda Jones

• Physical Therapist in Atco, NJ
• Providers in Atco, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.