Active NPI
Jonathan Price, PT, DPT
- Physical Therapist
- Cornwall, NY
National Provider Identifier
1780226514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 045026
- Practice address
- 19 Laurel Ave
Cornwall, NY 12518-1403 - Phone
- (845) 458-4524
- NPI assigned
- Oct 14, 2019
- 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 | 045026 | NY | Primary |
Addresses
Primary practice location
19 Laurel Ave
Cornwall, NY 12518-1403
Mailing address
19 Laurel Ave
Cornwall, NY 12518-1403
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045026 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1780226514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 LAUREL AVE",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 LAUREL AVE",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181403",
"telephone_number": "845-458-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "045026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornwall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.