Jennifer Rose Duval, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0038601 Issued in NY

Practice address

20 Manor Dr
Oswego, NY 13126-6495

Phone

(315) 349-5346

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1912150418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 PATRICK CIR",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130693231",
            "telephone_number": "315-598-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MANOR DR",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131266495",
            "telephone_number": "315-349-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "0038601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy L Dumas, LPN
• Kassandra Durant, OTA
• Emily Lois Durkee
• Jennifer Durso
• Sally Dougherty Dussere, MSW
• Shannon M Dwyer, NP
• Kimberly Ann Dyer, MST
• Kyle Richard Dzintars, M.S.
• Amber Earl, OTR/L
• Jessica E Eason

• Physical Therapy Assistant in Oswego, NY
• Providers in Oswego, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.