James Elisha Jenkins, PH.D., P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

007033 Issued in OH

Practice address

12 Troy Rd
Delaware, OH 43015-4502

Phone

(740) 513-4853

Fax

(740) 513-2334

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jim Elijah Jenkins Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Proactive Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Pataskala, OH
  • NPI 1881963353
  NPD (past) Authorized official
• Westland Family Care LLC

  • Adult Mental Health Clinic/Center
  • Columbus, OH
  • NPI 1013625870
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1073625604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11761 TRENTON RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430219511",
            "telephone_number": "740-971-8344",
            "fax_number": "740-971-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TROY RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430154502",
            "telephone_number": "740-513-4853",
            "fax_number": "740-513-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Upper Gilchrist Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430508923",
            "country_code": "US",
            "telephone_number": "740-392-1407",
            "fax_number": "740-392-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JAMES",
        "middle_name": "ELISHA",
        "credential": "PH.D., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "007033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2759680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "JENKINS",
            "middle_name": "ELIJAH",
            "credential": "PH.D., P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy L Janecezk, PTA
• Janet K Wolery DMD LLC
• Kim Doreen Jantausch, LPN
• JCL Home Care LLC (Home Helpers Home Care Delaware-OH)
• Erin Jeffrey, APRN/CNP
• Aidan Johnson, LMFT
• Sara Elizabeth Jones, CAREGIVER
• Sarah Jane Jones, CNP
• Emily Rebecca Jordan, DDS, MS
• Dany Jose, DMD

• Orthopedic Physical Therapist in Delaware, OH
• Providers in Delaware, OH by specialty
• Orthopedic Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.