JERRY PACK (NPI# 1346661881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346661881 |
| Entity Type | Individual |
| Full Name | JERRY PACK |
| Credential | PT |
| Practice Address |
322 Thompson Rd Lot M5 Oswego NY 13126-6040 |
| Practice Telephone | 6149003098 |
| Mailing Telephone | 6149003098 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 007732-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
322 THOMPSON RD LOT M5 |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311649 | Adam C Detoni | Physical Therapist | 1240 Route 34, Oswego, IL 60543-8939 | 2019-08-14 |
| 1811398340 | Monique Marie Napolitano | Physical Therapist | 299 East River Road, St. Luke Health Services, Oswego, NY 13126 | 2014-09-16 |
| 1629487327 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 2966 Route 34, Oswego, IL 60543-8362 | 2014-08-06 |
| 1770917619 | Kathleen Mae Hall | Physical Therapist | 140 W 6th St Ste 140, Oswego, NY 13126-2554 | 2013-08-28 |
| 1346538196 | Speckman Rehab Center Oswego Inc. | Physical Therapist | 26 W Van Buren St, Oswego, IL 60543-7211 | 2011-07-14 |
| 1447542295 | Therapy On Demand | Physical Therapist | 596 Rance Rd, Oswego, IL 60543-9653 | 2011-05-12 |
| 1902138183 | Arjun Hariharan | Physical Therapist | 198 E Albany St, Apt 15 C, Oswego, NY 13126-2916 | 2010-02-12 |
| 1649464660 | Anna Spence | Physical Therapist | 471 Brookside Dr, Oswego, IL 60543-3003 | 2007-09-03 |
| 1659437499 | Laura Anne Voruz | Physical Therapist | 1210 Douglas Rd, Oswego, IL 60543-7918 | 2006-12-28 |
| 1205928710 | Gaston D Cordova | Physical Therapist | 4390 Il-71, Oswego, IL 60543 | 2006-09-29 |
| Find all providers in OSWEGO | ||||
Please comment or provide details below to improve the information on JERRY PACK.
| 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.