Individual provider Active NPI

Rachelle Jenkins, MSPT

  • Physical Therapist
  • Auburn, MA
National Provider Identifier
1043293483
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17114 Issued in MA
Practice address
489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone
(508) 721-0000
Fax
(508) 721-0100
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17114 MA Primary

Addresses

Primary practice location

489 Washington St
Suite 200
Auburn, MA 01501-5709

Mailing address

489 Washington St
Suite 200
Auburn, MA 01501-5709
Phone (508) 721-0000

Other names 1

  • Rachelle Parkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001485 ME Practitioner - Physical Therapist in Private Practice 1355234915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reform Physical Therapy IncGroup PAC ID 7214239540, 23 clinicians

Practice addresses (Care Compare)

23 Durham Rd
Suite 101
Freeport, ME 04032-6796
Phone (207) 725-4400

439 Lewiston Rd
Topsham, ME 04086-6186
Phone (207) 725-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17114MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reform Physical Therapy, Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Francis P. Defalco, PC Past Accepting new patients
Rivertree Osteopathic Health PC Past Accepting new patients
Prescription Orthopedic and Sports Therapy Physical Therapist PastSince Feb 29, 2000 Accepting new patients
Physical Therapy Innovations, Inc Physical Therapist PastSince Apr 17, 2002 Accepting new patients
Elite Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

190 Pleasant St
Brunswick, ME 04011

28 Levesque Dr
Ste 10
Eliot, ME 03903

23 Durham Rd
Ste 101
Freeport, ME 04032
Phone (207) 725-4400

439 Lewiston Rd
Topsham, ME 04086
Phone (207) 725-4400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1043293483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "SUITE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "RACHELLE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "17114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHELLE",
            "last_name": "PARKINSON",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.