Individual provider Active NPI

Jill D Friedbauer, MSPT

  • Physical Therapist
  • Teaneck, NJ
National Provider Identifier
1992940852
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01166700 Issued in NJ
Practice address
393 Churchill Rd
Teaneck, NJ 07666-3010
Phone
(201) 833-8239
NPI assigned
Dec 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 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 40QA01166700 NJ Primary

Addresses

Primary practice location

393 Churchill Rd
Teaneck, NJ 07666-3010

Mailing address

393 Churchill Rd
Teaneck, NJ 07666-3010
Phone (201) 833-8239

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": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228521600000",
    "number": "1992940852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663010",
            "telephone_number": "201-833-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 CHURCHILL RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663010",
            "telephone_number": "201-833-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDBAUER",
        "first_name": "JILL",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01166700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.