Jennifer Michele Menke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3187 Issued in NH

Practice address

15 Town West Rd
Plymouth, NH 03264-3428

Phone

(603) 536-2941

NPI assigned

Dec 21, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jennifer Michele Sama Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Johnelms LLC

  dba Choice Physical Therapy of Plymouth

  • Physical Therapist
  • Bristol, NH
  • NPI 1558306936
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1265596407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "NEW HAMPTON",
            "state": "NH",
            "postal_code": "032560715",
            "telephone_number": "603-677-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWN WEST RD",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032643428",
            "telephone_number": "603-536-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "JENNIFER",
        "middle_name": "MICHELE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30394880",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SAMA",
            "middle_name": "MICHELE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren McNeil
• Amanda McPherson
• Matt McSally
• Douglas McVicar, M.D.
• Alex G. Medlicott, M.D.
• Dana A Merrithew, MD
• Sarah Michel
• Mid-State Health Center
• Mid-State Health Center
• Mid-State Health Center

• Physical Therapist in Plymouth, NH
• Providers in Plymouth, NH by specialty
• Physical Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.