Individual provider Active NPI

Jenna York, PT, DPT, CSCS

  • Physical Therapist
  • Gallipolis, OH
National Provider Identifier
1306259593
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013109 Issued in OH
Practice address
103 Bastiani Dr
Gallipolis, OH 45631-1604
Phone
(330) 727-2142
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207195 VA
Physical Therapist 225100000X 013109 OH Primary

Addresses

Primary practice location

103 Bastiani Dr
Gallipolis, OH 45631-1604

Mailing address

3924 Lower Elkton Rd
Leetonia, OH 44431-8629
Phone (330) 727-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180814003826 OH Practitioner - Physical Therapist in Private Practice 9931458619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Physical Therapy Institute LLCGroup PAC ID 0446510184, 4 clinicians

Practice addresses (Care Compare)

567 E Main St
Canfield, OH 44406-1547
Phone (330) 533-1080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013109OHMDPhysical Therapist
2305207195VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Rehabilitation Inc. Physical Therapist CurrentSince Jul 24, 2018 Accepting new patients
Tudor Home Therapies Inc Physical Therapist CurrentSince May 3, 2021 Accepting new patients

Locations

567 E Main St
Canfield, OH 44406
Phone (330) 533-1080

2860 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-1118

77 W McKinley Way
Youngstown, OH 44514
Phone (330) 757-9772

2959 Canfield Rd
Ste 7
Youngstown, OH 44511
Phone (330) 799-1680

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1306259593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 LOWER ELKTON RD",
            "city": "LEETONIA",
            "state": "OH",
            "postal_code": "444318629",
            "telephone_number": "330-727-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BASTIANI DR",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311604",
            "telephone_number": "330-727-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "JENNA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207195",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.