Phillip Thomas Jennings, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604552 Issued in VA

Practice address

400 Clocktower Ridge Dr
Winchester, VA 22603-3878

Phone

(540) 431-2830

NPI assigned

Dec 27, 2018

Sex

Male

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

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1205308517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 LONGS RD",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228354915",
            "telephone_number": "540-742-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLOCKTOWER RIDGE DR",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226033878",
            "telephone_number": "540-431-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "PHILLIP",
        "middle_name": "THOMAS",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jenkins
• Bernard R Jenkins III, CFNP
• Rachel Towarnicky Jenkins
• Brandon Terry Jennings, PHARM.D., BCACP
• Melissa R Jennings, D.P.T.
• Anne Christie Jett, MS, CGC
• Samuel S Jett, MD
• Jewel'S Services LLC
• Heather Reay Jewell, PA-C
• Manish Jhawar, MD

• Physical Therapy Assistant in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.