Active NPI
Jack A Marcheschi, PT
- Physical Therapist
- New York, NY
National Provider Identifier
1760771687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006615-1
- Practice address
- 225 Liberty St
New York, NY 10281-1008 - Phone
- (212) 236-2639
- Fax
- (212) 269-2905
- NPI assigned
- Mar 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006615-1 | NY | Primary |
Addresses
Primary practice location
225 Liberty St
New York, NY 10281-1008
Mailing address
8514 Seawell School Road
Chapel Hill, NC 27516
Phone (919) 932-7044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6840364001 | Other | NY | CIGNA |
| 1376742 | Other | NY | UNITED HEALTHCARE |
| Q5977 | Other | NY | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006615-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301529600000",
"number": "1760771687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8514 SEAWELL SCHOOL ROAD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27516",
"telephone_number": "919-932-7044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 LIBERTY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102811008",
"telephone_number": "212-236-2639",
"fax_number": "212-269-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHESCHI",
"first_name": "JACK",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2011-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "006615-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6840364001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1376742",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Q5977",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.