Active NPI
Deborah Geralyn Janick, PT
- Geriatric Physical Therapist
- Somerset, MA
National Provider Identifier
1831495605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 5398
- Practice address
- 455 Brayton Ave
Somerset, MA 02726-2642 - Phone
- (508) 679-2240
- Fax
- (508) 679-2983
- NPI assigned
- Jan 26, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00506 | RI | |
| Geriatric Physical Therapist | 2251G0304X | 5398 | MA | Primary |
Addresses
Primary practice location
455 Brayton Ave
Somerset, MA 02726-2642
Mailing address
455 Brayton Ave
Somerset, MA 02726-2642
Phone (508) 679-2240
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00506 | RI | MD | Physical Therapist |
| 5398 | MA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1831495605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 BRAYTON AVE",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027262642",
"telephone_number": "508-679-2240",
"fax_number": "508-679-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 BRAYTON AVE",
"city": "SOMERSET",
"state": "MA",
"postal_code": "027262642",
"telephone_number": "508-679-2240",
"fax_number": "508-679-2983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANICK",
"first_name": "DEBORAH",
"middle_name": "GERALYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-26",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00506",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MA",
"license": "5398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.