JCM Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JCM PHYSICAL THERAPY PC

Practice address

806 E Main St
Riverhead, NY 11901-2563

Phone

(631) 591-0838

Fax

(631) 591-0841

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

John C Micena

Title

Founder

Phone

(631) 591-0838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1912003310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012563",
            "telephone_number": "631-591-0838",
            "fax_number": "631-591-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012563",
            "telephone_number": "631-591-0838",
            "fax_number": "631-591-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCM PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MICENA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "631-591-0838"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James
• Jamie L Nauheim PHD Clinical Psych PC
• Barbara Janeczko, DDS
• Sharmini Jayamaha, M.D.
• Jca Optical
• Jeffrey L. Schulman DDS and Jules Shteierman DDS PC
• Jeffrey Nazar D.C., P.C.
• Jeffrey S. Williams, Jr
• Chasity Jenkins
• Jennifer R Hill MD PLLC

• Physical Therapist in Riverhead, NY
• Providers in Riverhead, 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 Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.