JACK CHRISTOPHER STANDWILL
NPI 1801764832
Physical Therapist in Amityville, NY

Active since October 29, 2025Accepts Medicare Assignment
805 BROADWAY, AMITYVILLE, NY 11701(631) 608-8874 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Christopher Standwill NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK CHRISTOPHER STANDWILL (NPI 1801764832) is an individual physical therapist in Amityville, New York, licensed in New York (055505) and active in the NPI registry since October 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1801764832
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACK CHRISTOPHER STANDWILL
Location Address805 BROADWAYAmityville, NY 11701-2260
Mailing Address12 Skipper DrWest Islip, NY 11795-5030 · (631) 873-6442
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2025
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
NPI 1801764832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 055505
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
805 BROADWAY, Amityville, NY 11701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jack Christopher Standwill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032690920
PECOS Enrollment IDI20260227003573

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
805 BROADWAY
AMITYVILLE, NY 11701
Occupational Therapist
805 BROADWAY
AMITYVILLE, NY 11701
Physical Therapist
805 BROADWAY
AMITYVILLE, NY 11701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Standwill's NPI number?

The NPI number for Jack Standwill is 1801764832. It was assigned to this individual provider in the NPPES registry on October 29, 2025.

Where is Jack Standwill located?

Jack Standwill practices at 805 Broadway, Amityville, NY 11701. The listed phone number is (631) 608-8874.

What is Jack Standwill's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jack Standwill enrolled in Medicare?

Yes. Jack Standwill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Standwill was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.