Jeremy Missuk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT023626 Issued in PA

Practice address

20 Country Club Dr
Downingtown, PA 19335-3058

Phone

(610) 518-9100

NPI assigned

Sep 13, 2013

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 HI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jaco Rehab Kapolei Limited PartnershipGroup PAC ID 6305275355, 7 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.

• Jaco Rehab Kapolei Limited Partnership

  • Physical Therapist
  • Kapolei, HI
  • NPI 1437790052
  Medicare reassignment Care Compare group NPD
• Jaco Rehab Honolulu Limited Partnership

  • Physical Therapist
  • Honolulu, HI
  • NPI 1265073878
  Medicare reassignment NPD
• Jaco Rehab Mililani Limited Partnership

  • Physical Therapist
  • Mililani, HI
  • NPI 1700427325
  Medicare reassignment NPD
• Jaco Rehab Waikele Limited Partnership

  • Physical Therapist
  • Waipahu, HI
  • NPI 1629619234
  Medicare reassignment NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1679908230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COUNTRY CLUB DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353058",
            "telephone_number": "610-518-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COUNTRY CLUB DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353058",
            "telephone_number": "610-518-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSUK",
        "first_name": "JEREMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-13",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milltown Family Medicine, LLC
• Mind & Body Fitness, Inc
• Minquas Fire Company 2 Inc
• Arianne Missimer, DPT
• Mission for Educating Children With Autism
• Mobility Physical Therapy LLC
• Modern Endodontics PLLC
• Christine Marie Monaco, P.T.
• Cynthia Altman Montagna
• Robert Anthony Moore, LPC

• Physical Therapist in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.