Jenna L Nienaber, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29811 Issued in FL

Practice address

2410 W Plaza Dr
Tallahassee, FL 32308-5325

Phone

(850) 385-6185

Fax

(850) 385-2580

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna L Heathfield Former name

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 and National Provider Directory roles.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Tallahassee, FL
  • NPI 1588620355
  NPD (past)

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1023406345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 DORCHESTER DR",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102306",
            "telephone_number": "954-621-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085325",
            "telephone_number": "850-385-6185",
            "fax_number": "850-385-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "HEATHFIELD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Nicola, DO
• Nicole a. Golding OD PA
• Nicole Nimmons, LLC Dba in-Focus: Relational Therapy
• Gina M Nicoloso
• Jaqueline Niemann
• Nightengale Transit
• Nightingale Eldercare LLC
• Nimble Anesthesia, LLC
• Ellen Marie Nimmons, CCC-SLP
• William David Nimmons, MD

• Physical Therapist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.