Jonathan T Small Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

039368-1 Issued in NY

Legal business name

JONATHAN T SMALL PHYSICAL THERAPY PLLC

Practice address

316 East State Street
Herkimer, NY 13350-2026

Phone

(315) 794-8530

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan T Small, PTNPI 1639518053

Title

Owner

Phone

(315) 794-8530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Thomas Small, DPT

  • Physical Therapist
  • Coos Bay, OR
  • NPI 1639518053

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Jenna Crocilla, PT

  • Physical Therapist
  • Herkimer, NY
  • NPI 1922762145
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1861928020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EAST STATE STREET",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 EAST STATE STREET",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502026",
            "telephone_number": "315-794-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN T SMALL PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-794-8530",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "039368-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "039368-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Peter Jalowiec, D.C.
• Scot Albert Jauma
• Allison Nicole Johnson
• Jessica Johnson
• Katherine Jo Johnson, D.V.M.
• Marlene E Joslin, LPN
• Julie Joyce, O.T.
• Skylar Kaelin, LAT, ATC
• Jodi L Karla, OTR/L
• Maureen E Karwacki

• Physical Therapist in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.