Active NPI
Sheila Janda, P.T.
- Physical Therapist
- Middletown, NY
National Provider Identifier
1902818354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015643-1
- Practice address
- 390 Crystal Run Rd
Suite 104
Middletown, NY 10941-7000 - Phone
- (845) 703-3070
- Fax
- (745) 703-3072
- NPI assigned
- Aug 13, 2006
- 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 | 015643-1 | NY | Primary |
Addresses
Primary practice location
390 Crystal Run Rd
Suite 104
Middletown, NY 10941-7000
Mailing address
390 Crystal Run Rd
Suite 104
Middletown, NY 10941-7000
Phone (845) 703-3070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QN703-1 | Other | NY | ORTHONET |
| 826067 | Other | NY | MPN |
| P2953214 | Other | NY | OXFORD |
| 4355552 | Other | NY | MVP |
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 |
|---|---|---|---|
| 015643-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902818354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 CRYSTAL RUN RD",
"address_2": "SUITE 104",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417000",
"telephone_number": "845-703-3070",
"fax_number": "745-703-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 CRYSTAL RUN RD",
"address_2": "SUITE 104",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109417000",
"telephone_number": "845-703-3070",
"fax_number": "745-703-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANDA",
"first_name": "SHEILA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015643-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "QN703-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPN",
"identifier": "826067",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2953214",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4355552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.