JENNIFER MARIE TATLOCK DPT
NPI 1871807958
Physical Therapist in Amsterdam, NY

Active since August 02, 2010
178 CLIZBE AVE, AMSTERDAM, NY 12010(518) 842-1425(518) 842-1706 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Marie Tatlock Dpt NPPES

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

JENNIFER MARIE TATLOCK DPT (NPI 1871807958) is an individual physical therapist in Amsterdam, New York, licensed in New York (032826-1) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1871807958
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJENNIFER MARIE TATLOCKCredential: DPT
Location Address178 CLIZBE AVEAmsterdam, NY 12010-2935
Mailing Address42 Saratoga RdScotia, NY 12302-3412 · (518) 399-6861 · Fax (518) 399-6864
Fax(518) 842-1706
Sole ProprietorNo
Enumeration DateAugust 2, 2010
Last NPPES UpdateAugust 12, 2013
✔ NPI 1871807958 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 · 032826-1
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.
178 CLIZBE AVE, Amsterdam, NY 12010

Other Names 1

Former Name (1)Jennifer Marie Beaton Dpt

Other Identifiers 2

Medicaid03005754NY
Medicare PINJ400084073NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Tatlock Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Tatlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
41 ARTERIAL PLZ
Gloversville, NY 12078
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%29 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Anesthesiology
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010
Anesthesiology
178 CLIZBE AVE
AMSTERDAM, NY 12010
Physical Therapist
178 CLIZBE AVE
AMSTERDAM, NY 12010

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 Jennifer Tatlock's NPI number?

The NPI number for Jennifer Tatlock is 1871807958. It was assigned to this individual provider in the NPPES registry on August 2, 2010. The provider is also known as Jennifer Marie Beaton Dpt.

Where is Jennifer Tatlock located?

Jennifer Tatlock practices at 178 Clizbe Ave, Amsterdam, NY 12010. The listed phone number is (518) 842-1425.

What is Jennifer Tatlock's specialty?

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

Is Jennifer Tatlock enrolled in Medicare?

Yes. Jennifer Tatlock is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Tatlock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Tatlock reassigns Medicare benefits to Balanced Health Physical Therapy (Gloversville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Tatlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Tatlock was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.