Jennifer Jeshurun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018265 Issued in MI

Practice address

30200 Telegraph Rd Ste 100
Bingham Farms, MI 48025-4503

Phone

(248) 962-3006

Fax

(248) 232-7328

NPI assigned

Sep 13, 2017

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

• Jennifer Pohl 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.

• Michigan Abilities Center Physical Medicine and Rehabilitation PLLC

  • Physical Medicine & Rehabilitation Physician
  • Livonia, MI
  • NPI 1801308788
  NPD (past)

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1043739758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254503",
            "telephone_number": "248-763-3653",
            "fax_number": "248-232-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 100",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254503",
            "telephone_number": "248-962-3006",
            "fax_number": "248-232-7328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23800 W 10 Mile Rd Ste 182",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480333123",
            "country_code": "US",
            "telephone_number": "248-962-3006",
            "fax_number": "248-232-7328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESHURUN",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POHL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• John Paul Home Hospice LLC
• Devyn Johns

• All providers in Bingham Farms, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.