Jenna Loughlin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28504 Issued in MD

Practice address

2480 Llewellyn Ave
Fort Meade, MD 20755-7081

Phone

(301) 677-8796

Fax

(301) 677-8491

NPI assigned

Sep 7, 2019

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1205485737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILKSHIRE DR",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8796",
            "fax_number": "301-677-8491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Route 9",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077265107",
            "country_code": "US",
            "telephone_number": "732-538-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Greenbelt Rd Ste U15",
            "address_purpose": "LOCATION",
            "city": "Berwyn Heights",
            "state": "MD",
            "postal_code": "207402347",
            "country_code": "US",
            "telephone_number": "301-220-0571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "JENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-07",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01885300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Yvonne Lee, FAMILY NURSE PRACTIT
• Jaclyn Leith, PH.D.
• Martha Lenhart
• Jae Hyung Lim, DDS
• Dorothy Dionne Lopez, RN
• Tracy Viviansue Love, M.D.
• Michael Dennis Maguire, M.D.
• Louis Michael Magyar III, FNP-C
• Peter Makula, D.D.S
• Megan Elizabeth Malis, LCSW

• Physical Therapist in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.