Active NPI
Jennifer Menke, PT, DPT
- Physical Therapist
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39110
- Practice address
- 1720 SE 16TH Ave Ste 302
Ocala, FL 34471-4620 - Phone
- (352) 512-0825
- Fax
- (352) 512-0826
- NPI assigned
- Aug 30, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT39110 | FL | Primary |
Addresses
Primary practice location
1720 SE 16TH Ave Ste 302
Ocala, FL 34471-4620
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (304) 917-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4515 Premier Dr
Suite 307
High Point, NC 27265-8356
Phone (336) 802-2250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39110 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Physical Therapist | Current | Accepting new patients |
| Mountain River Physical Therapy Specialists LLC | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Breakthrough Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
1720 SE 16th Ave
Ste 302
Ocala, FL 34471
Phone (352) 512-0825
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1591 Yanceyville St
Ste 400
Greensboro, NC 27405
Phone (336) 274-7480
4515 Premier Dr
Ste 307
High Point, NC 27265
Phone (336) 802-2250
303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738
1901 Mooney St
Winston Salem, NC 27103
Phone (336) 716-8091
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
Physical Therapist
-
- Physical Therapy Clinic/Center
- Ocala, FL
- NPI 1528663283
Physical Therapist
-
- Physical Therapist
- Cary, NC
- NPI 1558598532
-
- Physical Therapist
- Morehead City, NC
- NPI 1083937692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1316667595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "304-917-3660",
"fax_number": "304-917-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SE 16TH AVE STE 302",
"city": "OCALA",
"state": "FL",
"postal_code": "344714620",
"telephone_number": "352-512-0825",
"fax_number": "352-512-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENKE",
"first_name": "JENNIFER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.