Jaclyn V Fehrenback, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016320 Issued in PA

Practice address

770 Boylston St
Apt 25G
Boston, MA 02199-7700

Phone

(973) 224-3792

NPI assigned

Aug 23, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MCRC Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1932154853
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1699768861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BOYLSTON ST",
            "address_2": "APT 25G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997700",
            "telephone_number": "973-224-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BOYLSTON ST",
            "address_2": "APT 25G",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997700",
            "telephone_number": "973-224-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRENBACK",
        "first_name": "JACLYN",
        "middle_name": "V",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balazs Feher, DMD PHD
• Andrew Fehlner, PT, DPT
• Corey R Fehnel, M.D.
• Katie Pricola Fehnel, M.D.
• Elizabeth Fehrenbach, AGNP-C
• Nico Feichko, DPT
• Emily H Feig, PHD
• Emily Feigenberg
• Sonia Feil, RN, BSN
• Elizabeth Fein

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.