Amanda Elizabeth Jenks, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000911 Issued in CT

Practice address

395 Danbury Rd
Wilton, CT 06897-2006

Phone

(203) 762-0381

NPI assigned

Dec 11, 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

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1083129241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LYNLEE LN",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971103",
            "telephone_number": "203-644-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972006",
            "telephone_number": "203-762-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKS",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interventional Orthopedics CT, P.C
• Varshapriya Iyer, M.D.
• Jeri A Jamison
• Khushbu V Janani, D.O
• Jaimin S Jani
• Carley Jerome
• Cynthia Louise Johnson, OTR/L
• Radha Vithal Joshi, DPT
• Judith E. Gotlieb, LMFT
• Sarah Kahn, MD

• Athletic Trainer in Wilton, CT
• Providers in Wilton, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.