Jonathan Quick

Individual provider Active NPI Physical Therapist · Jamesville, NY

NPI 1750112744 · NPPES record last updated Aug 12, 2024

Key facts

NPI
1750112744
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
052570 (NY)
Practice address
6499 E Seneca Tpke
Jamesville, NY 13078-2800
Phone
(315) 932-5210
NPI assigned
Aug 12, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ar Physical Therapy PC (3 clinicians)

Practice addresses (Care Compare)

6499 E Seneca Tpke
Jamesville, NY 13078-2800
Phone (315) 932-5210

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241004002961 NY Practitioner - Physical Therapist in Private Practice 5698206373 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ar Physical Therapy PC Physical Therapist Current
since Aug 9, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 052570 NY Yes

Addresses

Primary practice location

6499 E Seneca Tpke
Jamesville, NY 13078-2800

Mailing address

2640 Falls Rd
Marcellus, NY 13108-9722
Phone (315) 456-9893

Other providers in Jamesville, NY

All providers in Jamesville, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.