Jennifer Marie Tatlock, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

032826-1 Issued in NY

Practice address

178 Clizbe Ave
Amsterdam, NY 12010-2935

Phone

(518) 842-1425

Fax

(518) 842-1706

NPI assigned

Aug 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Marie Beaton Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Physical Therapy Associates of Schenectady, P.C.

  • Physical Therapist
  • Scotia, NY
  • NPI 1669553376
  Medicare reassignment NPD
• Physical Therapy Associates of Schenectady, P.C.

  • Physical Therapist
  • Troy, NY
  • NPI 1245313097
  NPD
• Physical Therapy Associates of Schenectady, PC

  • Physical Therapist
  • Ballston Spa, NY
  • NPI 1225346448
  NPD
• Bouton Physical Therapy PC

  • Physical Therapist
  • Rome, NY
  • NPI 1043225915
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1871807958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SARATOGA RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023412",
            "telephone_number": "518-399-6861",
            "fax_number": "518-399-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 CLIZBE AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120102935",
            "telephone_number": "518-842-1425",
            "fax_number": "518-842-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATLOCK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "032826-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03005754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BEATON",
            "middle_name": "MARIE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taglia Operations Inc (Tags Pharmacy)
• Muhammad Tai, M.D.
• Mason Tallman
• Karen Lizhong Tan, MD
• Tara N Harbeck, DPM
• Ronald Stuart Tecler, DMD
• Karen Tedesco, M.D.
• Adam Nicholas Tegnander, PA
• Lauren Jennifer Tegnander, LMSW
• Tejharsh Inc (Riverfront Pharmacy)

• Physical Therapist in Amsterdam, NY
• Providers in Amsterdam, 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 Aug 12, 2013; 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.