Active NPI
Jennifer L Dawkins
- Physical Therapy Assistant
- Temple, TX
National Provider Identifier
1316228943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2110957
- Practice address
- 2125 S 61St St
Temple, TX 76504-6823 - Phone
- (254) 314-8580
- Fax
- (254) 774-9980
- NPI assigned
- Sep 9, 2011
- Last updated
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0078751 | NY | |
| Physical Therapy Assistant | 225200000X | 2110957 | TX | Primary |
Addresses
Primary practice location
2125 S 61St St
Temple, TX 76504-6823
Mailing address
5220 Spring Valley Rd Ste 400
Dallas, TX 75254-2512
Phone (214) 466-1340
Other practice location 1
3767 Delaware Ave
Kenmore, NY 14217-1040
Phone (716) 874-6175
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer.dawkins@aveanna.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0078751 | NY | MD | Physical Therapy Assistant |
| 2110957 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pyra Med Health Services, LLC | Current | Accepting new patients | |
| Associated Physical & Occupational Therapists, PLLC | Past | Accepting new patients |
Locations
2125 S 61st St
Temple, TX 76504
Phone (254) 314-8580
Interoperability endpoints
- jennifer.dawkins@aveanna.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Kenmore, NY
- NPI 1538378039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1316228943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5220 SPRING VALLEY RD STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752542512",
"telephone_number": "214-466-1340",
"fax_number": "214-466-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 S 61ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765046823",
"telephone_number": "254-314-8580",
"fax_number": "254-774-9980"
}
],
"practiceLocations": [
{
"address_1": "3767 Delaware Ave",
"address_purpose": "LOCATION",
"city": "Kenmore",
"state": "NY",
"postal_code": "142171040",
"country_code": "US",
"telephone_number": "716-874-6175",
"fax_number": "716-874-6175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWKINS",
"first_name": "JENNIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "0078751",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2110957",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer.dawkins@aveanna.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2125 S 61st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765046823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.