Individual provider Active NPI

Jamie Kornbluth, MPT

  • Physical Therapist
  • Hopewell, NJ
National Provider Identifier
1962553966
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00897700 Issued in NJ
Practice address
83 Princeton Ave
Suite 3B
Hopewell, NJ 08525
Phone
(609) 466-9004
Fax
(609) 466-9074
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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 40QA00897700 NJ Primary

Addresses

Primary practice location

83 Princeton Ave
Suite 3B
Hopewell, NJ 08525

Mailing address

812 Silvia St
Suite 3B
Ewing, NJ 08628-3239
Phone (609) 644-3822

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1962553966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SILVIA ST",
            "address_2": "SUITE 3B",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283239",
            "telephone_number": "609-644-3822",
            "fax_number": "609-644-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PRINCETON AVE",
            "address_2": "SUITE 3B",
            "city": "HOPEWELL",
            "state": "NJ",
            "postal_code": "08525",
            "telephone_number": "609-466-9004",
            "fax_number": "609-466-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNBLUTH",
        "first_name": "JAMIE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00897700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.