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Jason Harvey, PTA

Physical Therapy Assistant in East Quogue, NY. Individual provider (NPI-1).

NPI number1215487541
StatusActive
Last updated in NPPESOct 11, 2016

Details

NPI
1215487541
Entity type
Individual (NPI-1)
Name
Jason Harvey
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2016
Last updated
Oct 11, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant–CTYes

Practice location

143 Chardonnay Dr
East Quogue, NY 11942-3829

Phone 631-278-0665 · Fax 631-619-6680

Mailing address

13 Hillside Rd
Southbury, CT 06488-2024

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