Active NPI
Jennifer R Wolfe, PT
- Physical Therapist
- Edinboro, PA
National Provider Identifier
1083889943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018232
- Practice address
- 419 Waterford Street
Edinboro, PA 16412-5517 - Phone
- (814) 734-5021
- Fax
- (814) 734-1433
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018232 | PA | Primary |
| Physical Therapist | 225100000X | 7547 | AZ |
Addresses
Primary practice location
419 Waterford Street
Edinboro, PA 16412-5517
Mailing address
1100 Shawnee Road
Lima, OH 45805
Phone (419) 999-2030
Other names 1
- Jennifer R Patro
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7547 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1083889943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 SHAWNEE ROAD",
"city": "LIMA",
"state": "OH",
"postal_code": "45805",
"telephone_number": "419-999-2030",
"fax_number": "419-991-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 WATERFORD STREET",
"city": "EDINBORO",
"state": "PA",
"postal_code": "164125517",
"telephone_number": "814-734-5021",
"fax_number": "814-734-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018232",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7547",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "PATRO",
"middle_name": "R",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Edinboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.