Jenifer R Kiernan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007377 Issued in OH

Practice address

1397 S Canfield Niles Rd
Unit 1
Austintown, OH 44515-4039

Phone

(330) 259-1758

Fax

(330) 259-1759

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southwoods Rehabilitation LLC

  dba Southwoods Physical Therapy

  • Special Hospital
  • Boardman, OH
  • NPI 1528477288

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1255648655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "SUITE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 S CANFIELD NILES RD",
            "address_2": "UNIT 1",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154039",
            "telephone_number": "330-259-1758",
            "fax_number": "330-259-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "JENIFER",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "007377",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "22891",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "007377",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Kenyhercz, DPM
• Samantha Ann Kerby
• Kristi Nicole Kester, DPT
• Trudy Lu Keyse, DPT
• Necklall Khooblall, M.D.
• Melissa S Kimble
• Ashley King, LPN
• Dillan G Kinsley
• Robert Dow Kiser, CDCA
• Kimberly Marie Kivlighan

• Physical Therapist in Austintown, OH
• Providers in Austintown, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.