Jenalyn De Leon

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24468 Issued in MD

Practice address

810 Monroe St
Apt. 208
Annapolis, MD 21403-3045

Phone

(202) 716-5487

NPI assigned

Jun 3, 2014

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Affinity Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • Dewitt, NY
  • NPI 1346530169
  NPD

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1073926572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 MONROE ST",
            "address_2": "APT. 208",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033045",
            "telephone_number": "202-716-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MONROE ST",
            "address_2": "APT. 208",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033045",
            "telephone_number": "202-716-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JENALYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn K. Staniszewski, LCSW-C, LLC
• Day Clinic LLC
• Deasia Arieona Day
• Dcimd LLC
• Miguel De Falco, O.D.
• Lyn Nguyen Dea, D.O.
• Brittany Deale, LCSW-C
• Garrett Dean, PA-C, ATC
• Sarah Dean
• Racheal Deanda, CRNP

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.