Jr Care Physical Therapy and Occupational Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JR CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC

Practice address

340 Veterans Memorial Hwy Ste 1
Commack, NY 11725-4300

Phone

(845) 682-3585

Fax

(631) 326-0984

NPI assigned

Oct 20, 2023

Organization subpart

No

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

Authorized official

Name

Jacquelyn Faber, PTNPI 1093810558

Title

Owner

Phone

(631) 813-9940

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn Ann Faber, DPT

  • Physical Therapist
  • Stony Brook, NY
  • NPI 1093810558
  Medicare reassignment Care Compare group NPD Authorized official
• Randee Lynne Zerner, OTR CHT CLT

  • Occupational Therapist
  • Commack, NY
  • NPI 1558318261
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1982486270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VETERANS MEMORIAL HWY STE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254300",
            "telephone_number": "845-682-3585",
            "fax_number": "631-326-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VETERANS MEMORIAL HWY STE 1",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254300",
            "telephone_number": "845-682-3585",
            "fax_number": "631-326-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR CARE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-813-9940",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie R Jones, M.D.
• William Jason Jordan, PHARMD
• Wendy Sue Jorgensen, LCSW-R
• Annamma Jose, MD
• Zoran Jovanovic, MASSAGE THERAPIST
• Cynthia Justinville, RN
• Shana Kabert, PSY.D.
• Neel Kachalia
• Kristen Kagan
• Bob Kalani, M.D

• Physical Therapist in Commack, NY
• Providers in Commack, 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 Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.