Jenna Kate Marie Gerber, DPT

Individual provider Active NPI Physical Therapist · Sweetwater, TN

NPI 1013366111 · NPPES record last updated Apr 23, 2021

Key facts

NPI
1013366111
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
208 Railroad St
Sweetwater, TN 37874-3013
Phone
(423) 337-7897
Fax
(423) 337-7943
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Carnegie PLZ
Cherry Hill, NJ 08003-1000

7 Clyde Rd
Somerset, NJ 08873-5049

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220616002746 MA Practitioner - Physical Therapist in Private Practice 1254624794 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
10854TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab Ma LLC Physical Therapist Current
since May 1, 2022
Accepting new patients

Locations

303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577

7 Carnegie Plz
Cherry Hill, NJ 08003

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TN Yes

Addresses

Primary practice location

208 Railroad St
Sweetwater, TN 37874-3013

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Other practice location 1

10910 Kingston Pike Unit 107
Knoxville, TN 37934-2948
Phone (865) 342-7823

Other names

  • Jenna Kate-Marie Gordon Former name

Other providers in Sweetwater, TN

All providers in Sweetwater, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.