Jennifer Fast, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009692 Issued in OH

Practice address

10555 N Elyria Rd
West Salem, OH 44287-9704

Phone

(330) 421-8587

NPI assigned

Feb 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356766992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N ELYRIA RD",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879704",
            "telephone_number": "330-421-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N ELYRIA RD",
            "city": "WEST SALEM",
            "state": "OH",
            "postal_code": "442879704",
            "telephone_number": "330-421-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5825 State Route 13",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "OH",
            "postal_code": "448379621",
            "country_code": "US",
            "telephone_number": "419-685-1447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAST",
        "first_name": "JENNIFER",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "009692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Bruyere
• Suzanne Elizabeth Caesar, LMT
• Kimberly Jean Clay, LPN
• Tonya Ann Cotton, LPN
• Chip Denger
• Jennifer Ann Foster
• Craig Richard Ghio
• Rebecca Jane Henry, DSP
• Ariel Holtrey
• James L. Hostetler, D.C.

• Physical Therapist in West Salem, OH
• Providers in West Salem, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.