Active NPI
Jenna Metzger, DPT
- Physical Therapist
- Garretson, SD
National Provider Identifier
1255730065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1603
- Practice address
- 920 4TH St
Garretson, SD 57030-2006 - Phone
- (605) 594-3466
- Fax
- (605) 594-6662
- NPI assigned
- Aug 18, 2014
- Last updated
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1603 | SD | Primary |
Addresses
Primary practice location
920 4TH St
Garretson, SD 57030-2006
Mailing address
920 4TH St
Garretson, SD 57030-2006
Phone (605) 594-3466
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 |
|---|---|---|---|
| 1603 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1255730065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 4TH ST",
"city": "GARRETSON",
"state": "SD",
"postal_code": "570302006",
"telephone_number": "605-594-3466",
"fax_number": "605-594-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 4TH ST",
"city": "GARRETSON",
"state": "SD",
"postal_code": "570302006",
"telephone_number": "605-594-3466",
"fax_number": "605-594-6662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZGER",
"first_name": "JENNA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "1603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garretson, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.