Melissa Dawn Jenkins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A00694 Issued in KY

Practice address

12601 Saxony Park Cir
103
Louisville, KY 40299-2784

Phone

(270) 519-1101

NPI assigned

Aug 23, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1033664693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SAXONY PARK CIR",
            "address_2": "103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992784",
            "telephone_number": "270-519-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SAXONY PARK CIR",
            "address_2": "103",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992784",
            "telephone_number": "270-519-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A00694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Jenkins, M.D.
• Josephine Therese Jenkins, PTA
• Karen S Jenkins, ARNP
• Kelly Anne Jenkins, MD
• Leslie Jenkins, PHD
• Rebecca Sue Jenkins, CNA
• Sherri Jenkins, MA
• Summer Hope Jenkins
• Thomas Moore Jenkins, M.D.
• Natalie Rose Jennette, DNP, APRN, FNP-C

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.