Active NPI
Jayne Fortier, M.A., P.T.
- Pediatric Physical Therapist
- Lynbrook, NY
National Provider Identifier
1962656132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 10471
- Practice address
- 303 Merrick Rd
Suite 404
Lynbrook, NY 11563-2501 - Phone
- (516) 255-5511
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 10471 | NY | Primary |
Addresses
Primary practice location
303 Merrick Rd
Suite 404
Lynbrook, NY 11563-2501
Mailing address
303 Merrick Rd
Suite 404
Lynbrook, NY 11563-2501
Phone (516) 255-5511
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10471 | NY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Neurological Physical Therapy, LLP | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226534400000",
"number": "1962656132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MERRICK RD",
"address_2": "SUITE 404",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632501",
"telephone_number": "516-255-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MERRICK RD",
"address_2": "SUITE 404",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115632501",
"telephone_number": "516-255-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTIER",
"first_name": "JAYNE",
"name_prefix": "Mrs.",
"credential": "M.A., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2008-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "10471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.