Jeremy T Kushner, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-022016 Issued in PA

Practice address

6651 Silver Crest Rd
Bath, PA 18014-8906

Phone

(484) 526-7355

Fax

(484) 526-7356

NPI assigned

Jul 10, 2012

Last updated

Aug 26, 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 PA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FC Select LLC

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Lemoyne, PA
  • NPI 1568741338

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1699030254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 SILVER CREST RD",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180148906",
            "telephone_number": "484-526-7355",
            "fax_number": "484-526-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 SILVER CREST RD",
            "city": "BATH",
            "state": "PA",
            "postal_code": "180148906",
            "telephone_number": "484-526-7355",
            "fax_number": "484-526-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "JEREMY",
        "middle_name": "T",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-022016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hughes, M.S. CCC-SLP, H.I.S
• Gregory Adam Janny
• Sooyun A Kim, PHARMD
• Klecknersville Rangers Volunteer Fire Company
• Kooma Home Health LLC
• Lehigh Valley Physician Group (LVPG Family Medicine - Bath)
• Lehigh Valley Physician Group (LVPG Family and Internal Medicine-Bath)
• Ronald J Lewullis
• Sarah McKinnon, BCBA
• Courtney Lynn Miller, M.S., CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.