JACOB TYLER DAMCOTT (NPI# 1174093736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174093736 |
Entity Type | Individual |
Full Name | JACOB TYLER DAMCOTT |
Credential | DPT |
Practice Address |
189 East Main Street Westfield NY 14787 |
Mailing Address |
9712 Ne Sherman Rd Ripley NY 14775 |
Practice Telephone | 7167932231 |
Mailing Telephone | 7164990228 |
Mailing Fax Number | 7167932257 |
Enumeration Date | 2018-11-27 |
Last Update Date | 2018-11-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
042593-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
189 EAST MAIN STREET |
City | WESTFIELD |
State | NY |
Zip Code | 14787 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780033647 | Sherry Northrop | Licensed Practical Nurse | 7406 Light Rouad, Westfield, NY 14787 | 2016-06-10 |
1699026658 | Ryan Mayle | Physician Assistant | 138 East Main St., Westfield Family Physicians, Westfield, NY 14787 | 2012-09-30 |
1487833117 | Sarah Michelle Cook | Physician Assistant | 138 East Main St, Westfield, NY 14787 | 2007-10-30 |
1649765108 | Bethany Ellis | Licensed Practical Nurse | 14 Franklin St, Westfield, NY 14787-1009 | 2018-06-27 |
1821219239 | Community Radiology, Pllc | Radiology | 185 E Main St, Westfield, NY 14787-1104 | 2007-05-01 |
1083698658 | Bradford W Buege | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2005-12-06 |
1356855100 | Westfield Memorial Hospital, Inc. | Clinic/Center | 189 E Main St, Westfield, NY 14787-1104 | 2017-11-30 |
1801167200 | Karin Seager Cockram | Occupational Therapist | 203 E Main St, Westfield, NY 14787-1104 | 2012-01-18 |
1962711853 | Amy Ruth Webb | Speech-Language Pathologist | 189 E Main St, Westfield, NY 14787-1104 | 2010-09-27 |
1568778629 | Charles Phillip Garriott | Emergency Medicine | 189 E Main St, Westfield, NY 14787-1104 | 2010-08-27 |
Find all providers in zip 14787 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902158728 | Natalie Marshall | Physical Therapist | 109 N Union St, Westfield, IN 46074-9459 | 2012-10-03 |
1891920468 | Lisa Marie Sottung | Physical Therapist | 37 Manchester Dr, Westfield, NJ 07090-2255 | 2009-05-26 |
1780658526 | Joseph Christopher Whelan | Physical Therapist | 734 Marcellus Dr, Westfield, NJ 07090-2013 | 2006-02-16 |
1306217906 | On The Spot Therapy | Physical Therapist | 238 Grove St, Westfield, NJ 07090-1608 | 2015-10-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.