Individual provider Active NPI

Jennifer Lee Tapken, DPT, PT, ATC

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1417523762
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215214 Issued in VA
Practice address
1832 Kempsville Rd
Virginia Beach, VA 23464-6861
Phone
(757) 742-3778
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12287960-2401 UT
Physical Therapist 225100000X 2305215214 VA Primary

Addresses

Primary practice location

1832 Kempsville Rd
Virginia Beach, VA 23464-6861

Mailing address

3620 Stepping Stone LN
Virginia Beach, VA 23452-3124
Phone (609) 402-1098

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000748 VA Practitioner - Physical Therapist in Private Practice 3476955493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Direct Performance Physical Therapy, LLCGroup PAC ID 1951627934, 24 clinicians

Practice addresses (Care Compare)

2247 W Great Neck Rd
Suite 101
Virginia Beach, VA 23451-1556
Phone (757) 742-3778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Performance Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
DPPT 2, LLC Physical Therapist PastSince Oct 1, 2022 Accepting new patients

Locations

1832 Kempsville Rd
Virginia Beach, VA 23464
Phone (757) 278-2573

2247 W Great Neck Rd
Ste 101
Virginia Beach, VA 23451
Phone (757) 589-7585

1577 General Booth Blvd
Ste 101B
Virginia Beach, VA 23454
Phone (757) 632-3819

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1417523762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 STEPPING STONE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523124",
            "telephone_number": "609-402-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 KEMPSVILLE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646861",
            "telephone_number": "757-742-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPKEN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12287960-2401",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.