Individual provider Active NPI

Jennifer Ann Wilson, MSPT

  • Physical Therapist
  • Loveland, OH
National Provider Identifier
1427494970
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6190 Issued in OH
Practice address
6281 Tri Ridge Blvd
Suite 100
Loveland, OH 45140-8345
Phone
(866) 791-5766
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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 6190 OH Primary

Addresses

Primary practice location

6281 Tri Ridge Blvd
Suite 100
Loveland, OH 45140-8345

Mailing address

8215 Millview Dr
Cincinnati, OH 45249-2213
Phone (513) 407-8227

Other names 1

  • Jennifer Ann Collette 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
6190OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1427494970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 MILLVIEW DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492213",
            "telephone_number": "513-407-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6281 TRI RIDGE BLVD",
            "address_2": "SUITE 100",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451408345",
            "telephone_number": "866-791-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "6190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COLLETTE",
            "middle_name": "ANN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.