NPIMap

Individual provider Active NPI

Jessica M Drukin, MS PT

  • Physical Therapist
  • Pleasantville, NY
National Provider Identifier
1750307799
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006895 Issued in CT
Practice address
501 Washington Ave
Pleasantville Physical Therapy and Sports Care
Pleasantville, NY 10570
Phone
(914) 741-2767
Fax
(914) 741-2776
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006895 CT Primary
Physical Therapist 225100000X 0202341 NY

Addresses

Primary practice location

501 Washington Ave
Pleasantville Physical Therapy and Sports Care
Pleasantville, NY 10570

Mailing address

501 Washington Ave
Pleasantville Physical Therapy and Sports Care
Pleasantville, NY 10570
Phone (914) 741-2767

Other identifiers 2

IdentifierTypeStateIssuer
ANC866OtherCTOXFORD ORTHONET NUMBER
080006895CT01OtherCTBCBS PROVIDER NUMBER

Other names 1

  • Miss Jessica M Klein Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
006895CTMDPhysical Therapist
0202341NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oetting Stebbins Physical Therapy Physical Therapist Past Accepting new patients
Pleasantville Physical Therapy Sports Care PC, Physical Therapist Past Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients
Empire State Occupational Therapy PC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1750307799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON AVE",
            "address_2": "PLEASANTVILLE PHYSICAL THERAPY AND SPORTS CARE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-741-2767",
            "fax_number": "914-741-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WASHINGTON AVE",
            "address_2": "PLEASANTVILLE PHYSICAL THERAPY AND SPORTS CARE",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "10570",
            "telephone_number": "914-741-2767",
            "fax_number": "914-741-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUKIN",
        "first_name": "JESSICA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006895",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0202341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ORTHONET NUMBER",
            "identifier": "ANC866",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "080006895CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "KLEIN",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MS PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.