Active NPI
Rose Jillian Enomate, OTR/L
- Kinesiotherapist
- Westerville, OH
National Provider Identifier
1376894295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1695
- Practice address
- 1060 Eastwind Dr
Westerville, OH 43081-3331 - Phone
- (614) 212-6766
- NPI assigned
- Oct 2, 2012
- Last updated
- Feb 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1695 | OH | MD | Chiropractor |
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.