NPIMap

Organization Active NPI

Run Jump Roll PT PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1730460502
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
023557 Issued in NY
Legal business name
RUN JUMP ROLL PT PLLC
Doing business as
Run Jump Roll
Practice address
433 3Rd Ave - Commercial Space 2
Brooklyn, NY 11215
Phone
(917) 579-0875
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
Jennifer Kay Laing, MS PTNPI 1457598336
Title
Principal
Phone
(917) 579-0875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 023557 NY Primary

Addresses

Primary practice location

433 3Rd Ave - Commercial Space 2
Brooklyn, NY 11215

Mailing address

393A 14TH St Apt 2
Brooklyn, NY 11215-5110
Phone (917) 579-0875

Other names 1

  • Run Jump Roll Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1730460502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393A 14TH ST APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155110",
            "telephone_number": "917-579-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 3RD AVE - COMMERCIAL SPACE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11215",
            "telephone_number": "917-579-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUN JUMP ROLL PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "LAING",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "917-579-0875",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "023557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Run Jump Roll",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.