Individual provider Active NPI

Jennifer Nicole Brown, DPT

  • Physical Therapist
  • Wintersville, OH
National Provider Identifier
1285889253
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012051 Issued in OH
Practice address
860 Main St
Wintersville, OH 43953-3870
Phone
(740) 264-9500
Fax
(740) 266-6394
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019051 PA
Physical Therapist 225100000X PT002737 WV
Physical Therapist 225100000X PT012051 OH Primary

Addresses

Primary practice location

860 Main St
Wintersville, OH 43953-3870

Mailing address

810 Wentworth Ave
Toronto, OH 43964-1066
Phone (740) 537-2876

Other practice location 1

320 S Hollywood Blvd
Steubenville, OH 43952-2423
Phone (740) 264-5559

Other practice location 2

1007 Franklin St
Toronto, OH 43964-1153
Phone (740) 537-2000

Other identifiers 3

IdentifierTypeStateIssuer
PT012051OtherOHLICENSE NUMBER
PT019051OtherPALICENSE #
PT002737OtherWVLICENSE #

Other names 1

  • Jennifer Nicole Weidger Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012051OHMDPhysical Therapist
PT019051PAMDPhysical Therapist
PT002737WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1285889253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WENTWORTH AVE",
            "city": "TORONTO",
            "state": "OH",
            "postal_code": "439641066",
            "telephone_number": "740-537-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533870",
            "telephone_number": "740-264-9500",
            "fax_number": "740-266-6394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 S Hollywood Blvd",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439522423",
            "country_code": "US",
            "telephone_number": "740-264-5559",
            "fax_number": "740-264-5355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Toronto",
            "state": "OH",
            "postal_code": "439641153",
            "country_code": "US",
            "telephone_number": "740-537-2000",
            "fax_number": "740-537-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT002737",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT012051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT012051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT019051",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT002737",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WEIDGER",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wintersville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.