Jessica I Fetman PT PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

021095 Issued in NY

Legal business name

JESSICA I FETMAN PT PC

Practice address

3 Rockwood LN
Suffern, NY 10901-1700

Phone

(845) 323-9579

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica I Fetman, PT

Title

President

Phone

(845) 323-9579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1700295615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROCKWOOD LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011700",
            "telephone_number": "845-323-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ROCKWOOD LN",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109011700",
            "telephone_number": "845-323-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA I FETMAN PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "FETMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-323-9579",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "021095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spencer John Jodarski, RN
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• Jacob John, DDS
• Isaac Thomas Johnson

• Physical Therapist in Suffern, NY
• Providers in Suffern, 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 Aug 5, 2014; 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.