Individual provider Active NPI

Jenna L Jeswald, PT, DPT

  • Physical Therapist
  • Orchard Park, NY
National Provider Identifier
1710226303
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
035153 Issued in NY
Practice address
48 Sleepy Hollow LN
Orchard Park, NY 14127-4618
Phone
(716) 982-2977
NPI assigned
Feb 3, 2013
Last updated
Feb 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

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 035153 NY Primary

Addresses

Primary practice location

48 Sleepy Hollow LN
Orchard Park, NY 14127-4618

Mailing address

48 Sleepy Hollow LN
Orchard Park, NY 14127-4618
Phone (716) 982-2977

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
035153NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359849600000",
    "number": "1710226303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SLEEPY HOLLOW LN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274618",
            "telephone_number": "716-982-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SLEEPY HOLLOW LN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274618",
            "telephone_number": "716-982-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESWALD",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; 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.