Active NPI
Jennifer Rae Portnoy, PT, DPT
- Physical Therapist
- Harleysville, PA
National Provider Identifier
1386061984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011159L
- Practice address
- 407 Pinehurst CT
Harleysville, PA 19438-3071 - Phone
- (267) 625-5693
- NPI assigned
- Mar 21, 2014
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011159L | PA | Primary |
Addresses
Primary practice location
407 Pinehurst CT
Harleysville, PA 19438-3071
Mailing address
407 Pinehurst CT
Harleysville, PA 19438-3071
Phone (267) 625-5693
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011159L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayada Home Health Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Newtown Square, PA
- NPI 1497796544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1386061984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 PINEHURST CT",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194383071",
"telephone_number": "267-625-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 PINEHURST CT",
"city": "HARLEYSVILLE",
"state": "PA",
"postal_code": "194383071",
"telephone_number": "267-625-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTNOY",
"first_name": "JENNIFER",
"middle_name": "RAE",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-21",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT011159L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harleysville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.