Active NPI
Jeri E Markowitz
- Physical Therapist
- Medford, NY
National Provider Identifier
1790397404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005502
- Practice address
- 15 Pitchpine PL
Medford, NY 11763-4208 - Phone
- (347) 922-4222
- NPI assigned
- Aug 24, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005502 | NY | Primary |
Addresses
Primary practice location
15 Pitchpine PL
Medford, NY 11763-4208
Mailing address
15 Pitchpine PL
Medford, NY 11763-4208
Phone (347) 922-4222
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 |
|---|---|---|---|
| 005502 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1790397404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 PITCHPINE PL",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117634208",
"telephone_number": "347-922-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 PITCHPINE PL",
"city": "MEDFORD",
"state": "NY",
"postal_code": "117634208",
"telephone_number": "347-922-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOWITZ",
"first_name": "JERI",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "005502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.