Active NPI
Jennifer L McCarthy, DPT
- Physical Therapist
- Harrisburg, PA
National Provider Identifier
1881919108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020090
- Practice address
- 5425 Jonestown Rd
Suite 100
Harrisburg, PA 17112-4086 - Phone
- (717) 901-9487
- Fax
- (717) 901-9488
- NPI assigned
- Mar 30, 2010
- Last updated
- Mar 30, 2010
- 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 | PT020090 | PA | Primary |
Addresses
Primary practice location
5425 Jonestown Rd
Suite 100
Harrisburg, PA 17112-4086
Mailing address
5425 Jonestown Rd
Suite 100
Harrisburg, PA 17112-4086
Phone (717) 901-9487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100727000588 | PA | Practitioner - Physical Therapist in Private Practice | 0446383509 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020090 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1881919108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5425 JONESTOWN RD",
"address_2": "SUITE 100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171124086",
"telephone_number": "717-901-9487",
"fax_number": "717-901-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 JONESTOWN RD",
"address_2": "SUITE 100",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171124086",
"telephone_number": "717-901-9487",
"fax_number": "717-901-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT020090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.