Active NPI
Karolyn Jenkins, MSPT
- Physical Therapist
- Lewistown, PA
National Provider Identifier
1093866741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT028148
- Practice address
- 152 E Market St Ste 200
Lewistown, PA 17044-2160 - Phone
- (717) 242-4840
- NPI assigned
- Jan 16, 2007
- 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 | 019441-1 | NY | |
| Physical Therapist | 225100000X | PT028148 | PA | Primary |
Addresses
Primary practice location
152 E Market St Ste 200
Lewistown, PA 17044-2160
Mailing address
812 Front St
Greenport, NY 11944-1514
Phone (631) 219-3168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00274337 | Medicaid | NY |
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 |
|---|---|---|---|
| 019441-1 | NY | MD | Physical Therapist |
| 019441 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1093866741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 FRONT ST",
"city": "GREENPORT",
"state": "NY",
"postal_code": "119441514",
"telephone_number": "631-219-3168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 E MARKET ST STE 200",
"city": "LEWISTOWN",
"state": "PA",
"postal_code": "170442160",
"telephone_number": "717-242-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KAROLYN",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019441-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT028148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00274337",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.