Individual provider Active NPI

Jason C Gemmer, PHYSICAL THERAPY

  • Physical Therapist
  • Amherst, NY
National Provider Identifier
1700993706
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0266501 Issued in NY
Practice address
1615 Amherst Manor Dr
2ND Floor
Amherst, NY 14221-2040
Phone
(716) 908-6779
Fax
(716) 837-2069
NPI assigned
Aug 24, 2006
Last updated
Feb 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0266501 NY Primary

Addresses

Primary practice location

1615 Amherst Manor Dr
2ND Floor
Amherst, NY 14221-2040

Mailing address

1157 Parkhurst Blvd
Tonawanda, NY 14150-8809
Phone (716) 908-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0266501NYMDPhysical Therapist
026650NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1700993706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 PARKHURST BLVD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508809",
            "telephone_number": "716-908-6779",
            "fax_number": "716-837-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 AMHERST MANOR DR",
            "address_2": "2ND FLOOR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142212040",
            "telephone_number": "716-908-6779",
            "fax_number": "716-837-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMMER",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "PHYSICAL THERAPY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0266501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.