Jennafer Ashley Tryon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002934 Issued in DE

Practice address

314 Franklin Ave Ste 405
Berlin, MD 21811-1263

Phone

(410) 641-2900

Fax

(410) 641-2914

NPI assigned

Nov 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Jennafer Ashley Wagner Former name

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Physical TherapyGroup PAC ID 9739130527, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.17 of 100Reported as group

Quality

100

Improvement activities

40

Cost

70.57

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastern Shore Physical Therapy

  • Physical Therapist
  • Berlin, MD
  • NPI 1356473318
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1437403219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 405",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-641-2900",
            "fax_number": "410-641-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FRANKLIN AVE STE 405",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111263",
            "telephone_number": "410-641-2900",
            "fax_number": "410-641-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRYON",
        "first_name": "JENNAFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24279",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435138000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "086513",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000220726",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPEC",
            "identifier": "216538",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNAFER",
            "last_name": "WAGNER",
            "middle_name": "ASHLEY",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kahri Tipton
• Katerina Bozhikova Todorov, MD
• Mary Katherine Topi
• Cheryl Lynn Torpey, LCSW-C
• Nancy Ellen Trivits
• Alicia Turner
• Brittany Nicole Turpin
• Jessica Kendara Tyler
• Megan Karin Tyndall, FNP-C, DNP
• Kimberly D'Imperio Valentine, LCPC

• Physical Therapist in Berlin, MD
• Providers in Berlin, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.