Jena Bontreger

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

05013008A Issued in IN

Practice address

9426 Lima Rd
Fort Wayne, IN 46818-8680

Phone

(260) 497-0328

NPI assigned

Aug 19, 2018

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

Practice roles

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.

• Hand in Hand Therapy

  • Early Intervention Provider Agency
  • Fort Wayne, IN
  • NPI 1912551524
  NPD (past)

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1114407111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 LIMA RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188680",
            "telephone_number": "260-497-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTREGER",
        "first_name": "JENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05013008A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig A. Bonham, O.D.
• Kristen Bonjour, RBT
• Kathryn Bonnet Thain, PHARMACIST
• Jennifer Bonney, MACCC-SLP
• Bonnie Kiser LLC
• Abagail Booker, LPN
• Mary Grace Bookmyer, PA-C
• Valerie Lea Bookwalter
• Kristen M Boon, PT
• Win Boon, M.D.

• Pediatric Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pediatric Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.