Jeremy M. Warchol, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21580-1 Issued in NY

Practice address

203 State Street
Northern Physical Therapy, PLLC
Ogdensburg, NY 13669

Phone

(315) 393-2024

Fax

(315) 393-2025

NPI assigned

Nov 6, 2007

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew S Hayes Physical Therapy PLLCGroup PAC ID 0244647899, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Matthew S Hayes Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Massena, NY
  • NPI 1679175426

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1659551778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 STATE STREET",
            "address_2": "NORTHERN PHYSICAL THERAPY, PLLC",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 STATE STREET",
            "address_2": "NORTHERN PHYSICAL THERAPY, PLLC",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "13669",
            "telephone_number": "315-393-2024",
            "fax_number": "315-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARCHOL",
        "first_name": "JEREMY",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "21580-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate-Lyn Waldrif
• Walgreen Co
• Erci Walker
• Ma Jocelyn Walker, PT
• Tracey Ann Waller
• Jeffery Ward
• Kaitlin Ward
• Kil Y. Ward
• Keith Warren
• Olin Lee Warren, RN

• Physical Therapist in Ogdensburg, NY
• Providers in Ogdensburg, 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, 2010; 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.