NPIMap

Organization Active NPI

JJ Physical Therapy PC

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1760883029
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
021061-1 Issued in NY
Legal business name
JJ PHYSICAL THERAPY PC
Practice address
111 Bushwick Avenue
Block 2790 Lot 27
Brooklyn, NY 11206
Phone
(917) 500-2389
NPI assigned
Sep 5, 2014
Last updated
Sep 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Mrs. Jocelyn JimenezNPI 1700034071
Title
PT, DPT
Phone
(917) 500-2389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 021061-1 NY Primary

Addresses

Primary practice location

111 Bushwick Avenue
Block 2790 Lot 27
Brooklyn, NY 11206

Mailing address

8914 Springfield Blvd
Queens Village, NY 11427-2514
Phone (917) 500-2389

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1760883029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272514",
            "telephone_number": "917-500-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BUSHWICK AVENUE",
            "address_2": "BLOCK 2790 LOT 27",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "917-500-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "PT, DPT",
        "authorized_official_telephone_number": "917-500-2389",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "021061-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.