Jennah Renae Bulen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2016039467 Issued in MO

Practice address

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Phone

(913) 684-6180

NPI assigned

Nov 4, 2016

Last updated

Jan 30, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1265974422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HUNT RD",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660271406",
            "telephone_number": "660-888-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE",
            "city": "FORT LEAVENWORTH",
            "state": "KS",
            "postal_code": "660272332",
            "telephone_number": "913-684-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULEN",
        "first_name": "JENNAH",
        "middle_name": "RENAE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016039467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Klein Brewster, PT, DPT
• Stephanie Renee Brooks, DO
• Jason Brozek, PHARMD, JD
• Kenya Sade Bryant, PSYD
• Dave Alan Buchheim, M.ED., PTA
• Nicole Burton, RN
• Susan Leslie Carlson, MSW, LCSW
• Victoria Katherine Cashio, LCSW
• Thomas B. Chaffin, LSCSW
• Angela Frances Clauser, RN BSN

• Physical Therapist in Fort Leavenworth, KS
• Providers in Fort Leavenworth, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.