Jennifer Renee Fertig, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010917L Issued in PA

Practice address

1005 Campus Cir
Hermitage, PA 16148-7901

Phone

(724) 346-1529

Fax

(724) 346-1498

NPI assigned

Aug 10, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Freedom Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Grove City, PA
  • NPI 1235620352

  Physical Therapist

  NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1275534372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-1529",
            "fax_number": "724-346-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-1529",
            "fax_number": "724-346-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTIG",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT010917L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001632039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "081283S6R",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015840140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Jay Evans, PH.D.
• Family Hospice and Palliative Care
• Frank Farone
• Elizabeth Ferguson
• Heather Fernandez-Navaretto
• Andrew Figan
• David Fill, DDS
• Charles Fischer, LPC
• Laurie A Fiscus, MS ED
• Jamie Flaherty

• Physical Therapist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.