Individual provider Active NPI

Jamie Lynn Rockwin, B.S.,M.A.,P.T.

  • Physical Therapist
  • North Merrick, NY
National Provider Identifier
1932182607
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013967-1 Issued in NY
Practice address
1757 Merrick Ave
Suite 104
North Merrick, NY 11566-2717
Phone
(516) 623-4388
Fax
(516) 623-4388
NPI assigned
Nov 27, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013967-1 NY Primary

Addresses

Primary practice location

1757 Merrick Ave
Suite 104
North Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave
Suite 104
North Merrick, NY 11566-2717
Phone (516) 623-4388

Other identifiers 1

IdentifierTypeStateIssuer
02417783MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001879 NY Practitioner - Physical Therapist in Private Practice 9537153317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Solutions Physical Therapy PLLCGroup PAC ID 8224929450, 4 clinicians

Practice addresses (Care Compare)

1757 Merrick Ave
Suite 100
N Merrick, NY 11566-2717
Phone (516) 623-4388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Arts

State licenses

LicenseStateTypeSpecialty
013967-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Solutions Physical Therapy, PLLC Physical Therapist CurrentSince May 29, 2002 Accepting new patients

Locations

1757 Merrick Ave
Ste 100
North Merrick, NY 11566
Phone (516) 474-9585

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1133049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1932182607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE",
            "address_2": "SUITE 104",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-623-4388",
            "fax_number": "516-623-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE",
            "address_2": "SUITE 104",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-623-4388",
            "fax_number": "516-623-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWIN",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "B.S.,M.A.,P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-27",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013967-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02417783",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.