Active NPI
Jennifer Lund, MPT
- Physical Therapist
- New Fairfield, CT
National Provider Identifier
1215187059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 022955-1
- Practice address
- 19 Columbia Dr
New Fairfield, CT 06812-3104 - Phone
- (914) 907-5909
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022955-1 | NY | Primary |
| Physical Therapist | 225100000X | 006976 | CT |
Addresses
Primary practice location
19 Columbia Dr
New Fairfield, CT 06812-3104
Mailing address
19 Columbia Dr
New Fairfield, CT 06812-3104
Phone (914) 907-5909
Other names 1
- Jennifer Donovan
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006976 | CT | MD | Clinical Social Worker |
| 022955-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1215187059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 COLUMBIA DR",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068123104",
"telephone_number": "914-907-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 COLUMBIA DR",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068123104",
"telephone_number": "914-907-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "JENNIFER",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022955-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006976",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DONOVAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.