Jamie Jaworski, LAT, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

RT006869 Issued in PA

Practice address

1400 Montgomery Ave
Bryn Mawr, PA 19010-1631

Phone

(610) 527-0200

NPI assigned

Jul 17, 2019

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1750934980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 DEER MEADOW LN",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190601925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MONTGOMERY AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101631",
            "telephone_number": "610-527-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWORSKI",
        "first_name": "JAMIE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "RT006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen C Jaffe, M.D.
• Lukasz Jakimiec, DO
• Yujin Jang
• Kerry Janson, MA
• Diane Jarin, ED. D.
• Liberty Belle Jay, PA-C
• Raymond Jean, MD
• Denise Jeffery
• Jia Guo
• Roshin Joby, CRNP

• Sports Medicine (Emergency Medicine) Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Sports Medicine (Emergency Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.