Jennifer Lynn Prong

Primary specialty

KinesiotherapistTaxonomy code 226300000X

Practice address

3250 W Big Beaver Rd Ste 228
Troy, MI 48084-2909

Phone

(586) 792-3633

NPI assigned

Oct 14, 2019

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

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.

• Onward Personal Training LLC

  • Recreation Therapist
  • Troy, MI
  • NPI 1912409871
  NPD (past)

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1124660832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD STE 228",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W BIG BEAVER RD STE 228",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842909",
            "telephone_number": "586-792-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRONG",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Therapy Solutions, LLC
• Professionals on Demand LLC
• Proficient Home Health Care LLC
• Prominent Life Changes Therapy Group. P.C.
• Promise Care Solution LLC
• Pros-Tech, Inc.
• Protera Health Medical Group, P.C.
• Protera Health Medical of Michigan PC
• Protera Health, Inc
• Provision Home Care LLC

• Kinesiotherapist in Troy, MI
• Providers in Troy, MI by specialty
• Kinesiotherapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.