Individual provider Active NPI

Rose Jillian Enomate, OTR/L

  • Kinesiotherapist
  • Westerville, OH
National Provider Identifier
1376894295
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
License
1695 Issued in OH
Practice address
1060 Eastwind Dr
Westerville, OH 43081-3331
Phone
(614) 212-6766
NPI assigned
Oct 2, 2012
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X 1695 OH Primary

Addresses

Primary practice location

1060 Eastwind Dr
Westerville, OH 43081-3331

Mailing address

1237 Oakfield Dr S
Columbus, OH 43229-1953
Phone (419) 290-6717

Other names 1

  • Ms. Rose Jillian Carpenter Former name

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

LicenseStateTypeSpecialty
1695OHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1376894295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 OAKFIELD DR S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291953",
            "telephone_number": "419-290-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 EASTWIND DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813331",
            "telephone_number": "614-212-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOMATE",
        "first_name": "ROSE",
        "middle_name": "JILLIAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "OH",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "CARPENTER",
            "middle_name": "JILLIAN",
            "prefix": "MS.",
            "credential": "RKT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.