Individual provider Active NPI

Jennifer Fearon, DPT

  • Physical Therapist
  • Pasadena, MD
National Provider Identifier
1144997214
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214941 Issued in VA
Practice address
8116 Ritchie Hwy
Pasadena, MD 21122-6916
Phone
(443) 261-2220
NPI assigned
Aug 26, 2021
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299694 CA
Physical Therapist 225100000X 2025041305 MO
Physical Therapist 225100000X 2305214941 VA Primary

Addresses

Primary practice location

8116 Ritchie Hwy
Pasadena, MD 21122-6916

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

101 W 92 Hwy Ste H
Kearney, MO 64060-7591
Phone (816) 903-0777

Other names 1

  • Jennifer Wenger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220110000714 MD Practitioner - Physical Therapist in Private Practice 1355733080 Reassigns benefits to 2 organizations
I20221019002724 VA Practitioner - Physical Therapist in Private Practice 1355733080 Reassigns benefits to 1 organization
I20250930003366 MO Practitioner - Physical Therapist in Private Practice 1355733080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

101 W State Route 92
Serc Kearney
Kearney, MO 64060-7590
Phone (816) 903-0777

1609 N Coalter St
Staunton, VA 24401-2552
Phone (540) 213-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
299694CAMDPhysical Therapist
2025041305MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 3, 2022 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Sep 23, 2025 Accepting new patients
Benchmark Physical Therapy of VA, LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

8116 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 261-2220

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

1409 S Salisbury Blvd
Unit Cd
Salisbury, MD 21801
Phone (667) 330-1061

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

101 W 92 Hwy
Ste H
Kearney, MO 64060
Phone (816) 903-0775

26106 Lee Hwy
Abingdon, VA 24211
Phone (276) 623-0274

1609 N Coalter St
Staunton, VA 24401
Phone (540) 213-1320

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1144997214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 RITCHIE HWY",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226916",
            "telephone_number": "443-261-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 92 Hwy Ste H",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "MO",
            "postal_code": "640607591",
            "country_code": "US",
            "telephone_number": "816-903-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEARON",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299694",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025041305",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WENGER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.