Individual provider Active NPI

Jennifer M Rathmann Johnsen, D.C.

  • Chiropractor
  • Blacksburg, VA
National Provider Identifier
1275626277
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104555594 Issued in VA
Practice address
620 N Main Street
Ste 203
Blacksburg, VA 24060
Phone
(540) 951-4357
Fax
(540) 951-1202
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555594 VA Primary

Addresses

Primary practice location

620 N Main Street
Ste 203
Blacksburg, VA 24060

Mailing address

620 N Main Street
Ste 202
Blacksburg, VA 24060
Phone (540) 951-6900

Other names 1

  • Dr. Jennifer M Rathmann Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000914 VA Practitioner - Chiropractic 9931374287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuck Chiropractic CorporationGroup PAC ID 0547222739, 10 clinicians

Practice addresses (Care Compare)

301 W Main St
Bedford, VA 24523-1902
Phone (540) 586-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tuck Chiropractic Corporation Chiropractor CurrentSince Nov 1, 2002 Accepting new patients
Tuck Chiropractic Corporation CurrentSince Jun 23, 2024 Accepting new patients
Tuck Clinic of Chiropractic Chiropractor Past Accepting new patients

Locations

301 W Main St
Bedford, VA 24523
Phone (540) 586-1105

620 N Main St
Ste 202
Blacksburg, VA 24060

620 N Main St
Ste 203
Blacksburg, VA 24060
Phone (540) 951-4357

1901 S Main St
Ste 5
Blacksburg, VA 24060

2045 N Franklin St
Christiansburg, VA 24073
Phone (540) 382-3000

7350 Peppers Ferry Blvd
Ste B
Fairlawn, VA 24141
Phone (540) 731-4357

6206 Peters Creek Rd
Roanoke, VA 24019
Phone (540) 563-0334

1212 Corporate Cir SW
Ste 100
Roanoke, VA 24018

60 Summerfield Ct
#101
Roanoke, VA 24019
Phone (540) 890-1444

490 S Main St
Ste 101
Rocky Mount, VA 24151
Phone (540) 483-4444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1275626277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN STREET",
            "address_2": "STE 202",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-951-6900",
            "fax_number": "540-951-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN STREET",
            "address_2": "STE 203",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-951-4357",
            "fax_number": "540-951-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHMANN JOHNSEN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RATHMANN",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.