JESSICA KOLETSKY (NPI# 1538400429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538400429 |
| Entity Type | Individual |
| Full Name | JESSICA KOLETSKY |
| Other Name | JESSICA BOTVINICK |
| Credential | DPT |
| Practice Address |
55 E 124th St New York NY 10035-1815 |
| Practice Telephone | 2124108090 |
| Practice Fax Number | 2124108403 |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2018-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0332481 | NY | Ambulatory Health Care Facilities |
| Street Address |
55 E 124TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275502593 | Michael Jay Rothstein | Nurse Practitioner | 55 E 124th St, New York, NY 10035-1815 | 2006-03-17 |
| 1326443771 | Ilya Makarovskiy | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2014-10-28 |
| 1356621445 | Intermed Care PC | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2011-08-22 |
| 1922336510 | Niezl Huqueriza Estorque | Physical Therapist | 55 E 124th St, New York, NY 10035-1815 | 2009-11-20 |
| 1932366366 | Tara Blitz-herbel | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2008-05-22 |
| 1891977500 | Joan M. Radjieski | Family Medicine | 55 E 124th St, New York, NY 10035-1815 | 2007-12-04 |
| 1215136692 | Judith Ellen Shoobe | Neuromusculoskeletal Medicine & OMM | 55 E 124th St, New York, NY 10035-1815 | 2007-07-16 |
| 1275634651 | Mark Harold Swartz | Internal Medicine | 55 E 124th St, New York, NY 10035-1815 | 2006-09-26 |
| 1689774119 | Gregory Paul Taylor | Physical Therapist | 55 E 124th St, New York, NY 10035-1815 | 2006-09-24 |
| 1760402481 | Eunice Virginia Ramsey-parker | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089357 | Sara Mikulsky Wellness Physical Therapy, Pllc | Clinic/Center | 341 E 116th St, New York, NY 10029-1502 | 2020-06-29 |
| 1063037125 | Forza Physical Therapy Pllc | Clinic/Center | 225 E 95th St Apt 17a, New York, NY 10128-4006 | 2020-06-14 |
| 1982229449 | Steven Roman | Clinic/Center | 1420 Amsterdam Ave Apt 4b, New York, NY 10027-8011 | 2020-06-10 |
| 1720612989 | Chloe Starr Physical Therapy & Fitness Pllc | Clinic/Center | 33 Carmine St # 2, New York, NY 10014-4428 | 2020-02-26 |
| 1295374965 | Emerald City Medical PC | Clinic/Center | 130 E 40th St # 1002, New York, NY 10016-0941 | 2019-12-30 |
| 1134768112 | Range of Motion LLC | Clinic/Center | 605 Madison Ave Fl 4, New York, NY 10022-1738 | 2019-12-23 |
| 1922643683 | Megan Wise Pt Pllc | Clinic/Center | 554 5th Ave Fl 3, New York, NY 10036-5004 | 2019-11-16 |
| 1346884913 | Yekaterina Shubova Pt | Clinic/Center | 227 Mulberry St Bsmt, New York, NY 10012-4126 | 2019-11-06 |
| 1710521588 | Shawn Monahan Physical Therapy, Pllc | Clinic/Center | 256 West St, New York, NY 10013-2014 | 2019-11-04 |
| 1447800289 | Coast Rehab Nyc, LLC | Clinic/Center | 883 Avenue of The Americas Fl 3, New York, NY 10001-3501 | 2019-09-13 |
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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.