Jeffrey E. Jay, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-004636 Issued in OH

Practice address

8094 East Market St
Warren, OH 44484

Phone

(330) 856-3355

Fax

(330) 856-5533

NPI assigned

Mar 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Circle Rehabilitation Physical Therapy Inc

  • Rehabilitation Practitioner
  • Canfield, OH
  • NPI 1477540383
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1710011671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MOCCASIN TRL",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203663",
            "telephone_number": "330-716-0238",
            "fax_number": "330-759-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8094 EAST MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "44484",
            "telephone_number": "330-856-3355",
            "fax_number": "330-856-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "JEFFREY",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT4636",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-004636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0260668",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Richard Jarbeck II, LPC,LICDC
• Jennifer Jarrett
• Jasmond McCoy
• Jason a Rupeka D O LLC
• Jaime Jastatt
• Jeanetta
• Kiara Jenkins
• Bertia A Jennings, DNP, CNP
• Bradley Taylor Jennings, D.P.M.
• Brett Ranz Jennings

• Physical Therapist in Warren, OH
• Providers in Warren, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.