Individual provider Active NPI

Erin M Jenkins, DPT, ATC/L

  • Specialist
  • Monarch Beach, CA
National Provider Identifier
1346488913
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
52717 Issued in FL
Practice address
14 Monarch Bay PLZ
Unit 196
Monarch Beach, CA 92629-3424
Phone
(949) 208-2639
Fax
(949) 861-9668
NPI assigned
Feb 4, 2009
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 52717 FL Primary
Physical Therapist 225100000X 39476 CA

Addresses

Primary practice location

14 Monarch Bay PLZ
Unit 196
Monarch Beach, CA 92629-3424

Mailing address

14 Monarch Bay PLZ
Unit 196
Monarch Beach, CA 92629-3424
Phone (949) 208-2639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907000930 FL Practitioner - Physical Therapist in Private Practice 3476723115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52717FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tanya Schrumpf DC Inc CurrentSince Jul 23, 2011 Accepting new patients
In-Home Physical Therapy PC PastSince Nov 1, 2019 Accepting new patients
Medical Partners of Florida LLC Past Accepting new patients

Locations

1861 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 610-8880

3910 S Washington Ave
Ste 109
Titusville, FL 32780
Phone (321) 267-0188

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1346488913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "address_2": "UNIT 196",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293424",
            "telephone_number": "949-208-2639",
            "fax_number": "949-861-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "address_2": "UNIT 196",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293424",
            "telephone_number": "949-208-2639",
            "fax_number": "949-861-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ERIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "52717",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "39476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monarch Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.