Organization Active NPI

Jayla PT

  • Physical Therapy Clinic/Center
  • Staten Island, NY
National Provider Identifier
1720398530
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
020534-1 Issued in NY
Legal business name
JAYLA PT
Practice address
236 Richmond Valley Rd
Staten Island, NY 10309-2606
Phone
(718) 317-6700
Fax
(718) 816-4677
NPI assigned
Oct 14, 2010
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Jason P Lamendola
Title
PT
Phone
(718) 317-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 020534-1 NY Primary

Addresses

Primary practice location

236 Richmond Valley Rd
Staten Island, NY 10309-2606

Mailing address

236 Richmond Valley Rd
Staten Island, NY 10309-2606
Phone (718) 317-6700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1720398530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092606",
            "telephone_number": "718-317-6700",
            "fax_number": "718-816-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 RICHMOND VALLEY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092606",
            "telephone_number": "718-317-6700",
            "fax_number": "718-816-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYLA PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "LAMENDOLA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "718-317-6700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "020534-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.