Jennifer Marie Pitlick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004245 Issued in IA

Practice address

3200 Westown Pkwy
West Des Moines, IA 50266-1110

Phone

(515) 266-1212

NPI assigned

Nov 8, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Health Partners LLC

  • Physical Therapist
  • West Des Moines, IA
  • NPI 1194256453
  NPD (past)
• Young Men's Christian Association of Greater Des Moines

  dba YMCA of Greater Des Moines

  • Physical Therapist
  • Clive, IA
  • NPI 1215177225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1013244300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SE CARDINAL LN",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639681",
            "telephone_number": "319-404-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661110",
            "telephone_number": "515-266-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLICK",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-08",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelvin Pimentel, PHARMD
• Thomas Watkins Pinckney, DDS
• Pine Acres Assisted Living LLC
• Pine Acres Rehabilitation and Care Center LLC
• James George Piros, M.D.
• Madison Sue Pleggenkuhle, TLMHC
• Ambrose David Poduska
• Darrius Poe, DC
• Pohlman Chiropractic PC (Jordan Creek Chiropractic)
• Kory J Pohlman, D.C.

• Physical Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.