Individual provider Active NPI

Jennifer L. Rocco, P.T.

  • Physical Therapist
  • Cambridge, OH
National Provider Identifier
1407918428
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007146 Issued in OH
Practice address
216 Highland Ave
Suite B
Cambridge, OH 43725-2558
Phone
(740) 439-7177
Fax
(740) 432-1053
NPI assigned
Dec 15, 2006
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007146 OH Primary

Addresses

Primary practice location

216 Highland Ave
Suite B
Cambridge, OH 43725-2558

Mailing address

216 Highland Ave
Suite B
Cambridge, OH 43725-2558
Phone (740) 439-7177

Other identifiers 1

IdentifierTypeStateIssuer
2289616MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000186 OH Practitioner - Physical Therapist in Private Practice 0446201529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Highland Ave
Suite B
Cambridge, OH 43725-2558
Phone (740) 439-7177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007146OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Physical Therapy, Inc. Physical Therapist CurrentSince Aug 19, 1999 Accepting new patients

Locations

216 Highland Ave
Ste B
Cambridge, OH 43725
Phone (740) 439-7177

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, 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1407918428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252558",
            "telephone_number": "740-439-7177",
            "fax_number": "740-432-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HIGHLAND AVE",
            "address_2": "SUITE B",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437252558",
            "telephone_number": "740-439-7177",
            "fax_number": "740-432-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCCO",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2289616",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.