Active NPI
Jennifer Kerr, DPT
- Physical Therapist
- Bellingham, WA
National Provider Identifier
1093325086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 61081142
- Practice address
- 1514 12TH St Ste 103
Bellingham, WA 98225-7448 - Phone
- (360) 752-2673
- NPI assigned
- Aug 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61081142 | WA | Primary |
Addresses
Primary practice location
1514 12TH St Ste 103
Bellingham, WA 98225-7448
Mailing address
2702 Clearwater CT
Bellingham, WA 98229-2354
Other names 1
- Jennifer Garbarz
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 |
|---|---|---|---|
| 61081142 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Performance LLC | Physical Therapist | Current | Accepting new patients |
Locations
1514 12th St
Ste 103
Bellingham, WA 98225
Phone (360) 752-2673
1825 Grant St
Ste 100
Bellingham, WA 98225
Phone (360) 752-2673
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1093325086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 CLEARWATER CT",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982292354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1514 12TH ST STE 103",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257448",
"telephone_number": "360-752-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-04",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "61081142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GARBARZ",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.