Jeffrey Ethan Senn

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501009789 Issued in MI

Practice address

300 W Dwight St
Oscoda, MI 48750-1406

Phone

(989) 739-4617

Fax

(989) 739-4617

NPI assigned

Dec 17, 2018

Sex

Male

Sole proprietor

Yes

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1295207140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404555",
            "telephone_number": "989-356-8004",
            "fax_number": "989-356-8034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W DWIGHT ST",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501406",
            "telephone_number": "989-739-4617",
            "fax_number": "989-739-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENN",
        "first_name": "JEFFREY",
        "middle_name": "ETHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501009789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth A Schram
• Marci Marie Schriber, D.C.
• Glen Schwartz
• Seals Tacia & Bartz OD PC
• Lacey Marie Selman, LLMSW
• Heather Leigh Smith, LLBSW
• Sobaks Home Medical, Inc.
• Marissa Speckmann
• Donald C Spencer
• St Joseph Health Enterprises

• Physical Therapy Clinic/Center in Oscoda, MI
• Providers in Oscoda, MI by specialty
• Physical Therapy Clinic/Center in Michigan

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