Active NPI
Apryl N Amo Jackson
- Speech-Language Pathologist
- Rochester, NY
National Provider Identifier
1760798987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3255 Brighton Henrietta Town Line Rd
Suite 102
Rochester, NY 14623-2806 - Phone
- (585) 427-7610
- Fax
- (585) 427-7410
- NPI assigned
- Aug 25, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3255 Brighton Henrietta Town Line Rd
Suite 102
Rochester, NY 14623-2806
Mailing address
3500 Middle Cheshire Rd
Canandaigua, NY 14424-2466
Phone (585) 905-4185
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physical Therapy Services, PLLC | Past | Accepting new patients |
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.
-
- Physical Therapist
- Rochester, NY
- NPI 1861534281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282694400000",
"number": "1760798987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 MIDDLE CHESHIRE RD",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144242466",
"telephone_number": "585-905-4185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 BRIGHTON HENRIETTA TOWN LINE RD",
"address_2": "SUITE 102",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232806",
"telephone_number": "585-427-7610",
"fax_number": "585-427-7410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMO JACKSON",
"first_name": "APRYL",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2010-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.