Active NPI
Jenna Poorman, DPT
- Physical Therapist
- Wake Forest, NC
National Provider Identifier
1134513716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P15373
- Practice address
- 10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090 - Phone
- (919) 556-4678
- Fax
- (919) 556-4619
- NPI assigned
- Mar 23, 2015
- 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 | P15373 | NC | Primary |
Addresses
Primary practice location
10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090
Mailing address
10560 Ligon Mill Rd
Suite 109
Wake Forest, NC 27587-6090
Phone (919) 556-4678
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 |
|---|---|---|---|
| P15373 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients |
Interoperability endpoints
- jsegraves288922@direct.childrenscolorado.org
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1134513716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 LIGON MILL RD",
"address_2": "SUITE 109",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876090",
"telephone_number": "919-556-4678",
"fax_number": "919-556-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 LIGON MILL RD",
"address_2": "SUITE 109",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876090",
"telephone_number": "919-556-4678",
"fax_number": "919-556-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POORMAN",
"first_name": "JENNA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-23",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P15373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
- Playful Minds Therapy & Wellness Center, PLLC
- Jill Hagwood Pollock, PHARM D, RPH
- W Michelle Pollock
- Cher-Gabrielle Lamora Pomar, LCMHC, LCAS, NCC
- James M Poole, M.D.
- Kylie Poppell, PA-C
- Porter & Rabinowitz Chiropractic, PLLC
- Allen Stuckey Porter, DMD,MS
- Kelly E. Porter, D.C.
- Ansley Roach Powell, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.