Individual provider Active NPI

Jeffrey H Kaplan, PT

  • Physical Therapist
  • Watertown, NY
National Provider Identifier
1780842377
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023147 Issued in NY
Practice address
53-59 Public SQ Ste 202
Watertown, NY 13601-2674
Phone
(315) 786-3225
NPI assigned
May 30, 2008
Last updated
Oct 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 023147 NY Primary

Addresses

Primary practice location

53-59 Public SQ Ste 202
Watertown, NY 13601-2674

Mailing address

8488 Nys Route 12E
Three Mile Bay, NY 13693
Phone (315) 649-2024

Other practice location 1

307 Riverside Dr
Clayton, NY 13624-1022
Phone (315) 686-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000362 NY Practitioner - Physical Therapist in Private Practice 3274811708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Audiology and Physical Therapy PLLCGroup PAC ID 8820488547, 14 clinicians

Practice addresses (Care Compare)

53 -59 Public SQ
Suite 202
Watertown, NY 13601-2674
Phone (315) 786-3225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023147NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Physical Therapy, LLC Physical Therapist CurrentSince Sep 19, 2016 Accepting new patients
East Coast Audiology and Physical Therapy, PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

307 Riverside Dr
Clayton, NY 13624
Phone (315) 285-5159

26000 US Route 11
Ste 102
Evans Mills, NY 13637

544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800

203 State St
Ogdensburg, NY 13669
Phone (315) 393-2024

53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1780842377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8488 NYS ROUTE 12E",
            "city": "THREE MILE BAY",
            "state": "NY",
            "postal_code": "13693",
            "telephone_number": "315-649-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53-59 PUBLIC SQ STE 202",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012674",
            "telephone_number": "315-786-3225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NY",
            "postal_code": "136241022",
            "country_code": "US",
            "telephone_number": "315-686-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.