Individual provider Active NPI

Jennifer M Jones, PT

  • Physical Therapist
  • Leonardtown, MD
National Provider Identifier
1326555012
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25771 Issued in MD
Practice address
40845 Merchants LN
Leonardtown, MD 20650-3767
Phone
(240) 530-8188
Fax
(301) 638-0470
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25771 MD Primary

Addresses

Primary practice location

40845 Merchants LN
Leonardtown, MD 20650-3767

Mailing address

23213 Sassafras LN
California, MD 20619-4120
Phone (240) 925-2620

Other names 1

  • Jennifer M Meyerhoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181114000134 MD Practitioner - Physical Therapist in Private Practice 0941554703 Reassigns benefits to 2 organizations
I20190128001577 DC Practitioner - Physical Therapist in Private Practice 0941554703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, 599 clinicians

Practice addresses (Care Compare)

40845 Merchants LN
Leonardtown, MD 20650-3767
Phone (240) 448-2930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25771MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 30, 2019 Accepting new patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Dec 3, 2017 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 30, 2019 Accepting new patients

Locations

1115 U St NW
Ste 202
Washington, DC 20009
Phone (202) 588-5885

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

40845 Merchants Ln
Leonardtown, MD 20650
Phone (240) 448-2930

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

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.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1326555012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23213 SASSAFRAS LN",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206194120",
            "telephone_number": "240-925-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40845 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503767",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MEYERHOFF",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.