Nyawoh Winnifred Jengo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE007796 Issued in PA

Practice address

2100 W Girard Ave
Philadelphia, PA 19130-1400

Phone

(215) 685-0800

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Nyawoh Winnifred Jengo Professional name

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124141460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 S 58TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435907",
            "telephone_number": "215-727-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301400",
            "telephone_number": "215-685-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENGO",
        "first_name": "NYAWOH",
        "middle_name": "WINNIFRED",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE007796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NYAWOH",
            "last_name": "JENGO",
            "middle_name": "WINNIFRED",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachael Jelnicky, MFT
• Jolie Sinclair Jemmott, RN, CRNP
• Melinda Jen, M.D
• Alicia Jenet, CRNP
• Bennie H Jeng, MD
• Michelle Christine Jenkin, ATC
• India Jenkins-Brown
• Donna Jenkins-Fakolujo, CCC-SLP
• Lysa Monique Christine Jenkins-Hayden, LPC, MA, R-DMT
• Autumn Jenkins, LMSW

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.