Individual provider Active NPI

Jenna L Carpenter, PT, DPT

  • Physical Therapist
  • Pleasant Hill, IA
National Provider Identifier
1437462280
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004545 Issued in IA
Practice address
5900 E University Ave
Suite 303
Pleasant Hill, IA 50327-8466
Phone
(515) 643-5690
Fax
(515) 643-5691
NPI assigned
Jul 22, 2010
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 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 004545 IA Primary

Addresses

Primary practice location

5900 E University Ave
Suite 303
Pleasant Hill, IA 50327-8466

Mailing address

P.O. Boz 1475
Des Moines, IA 50305-1475
Phone (515) 643-5690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000608 IA Practitioner - Physical Therapist in Private Practice 6800920497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

3310 SW 9TH St
Mercyone South Des Moines Physical Therapy
Des Moines, IA 50315-7647
Phone (515) 244-5005

5900 E University Ave
100 Mercyone Pleasant Hill Fam Med Clinic/U
Pleasant Hill, IA 50327-8457
Phone (515) 643-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jun 3, 2013 Accepting new patients
Mercy Clinics, Inc Physical Therapist CurrentSince Jun 3, 2013 Accepting new patients
Eastern Iowa Therapeutics PC Physical Therapist Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients

Locations

1120 Greene St
Adel, IA 50003
Phone (515) 993-4656

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

5900 E University Ave
Ste 303
Pleasant Hill, IA 50327
Phone (515) 643-2400

Organizations & group practices 6

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": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1437462280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOZ 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-5690",
            "fax_number": "515-643-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E UNIVERSITY AVE",
            "address_2": "SUITE 303",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278466",
            "telephone_number": "515-643-5690",
            "fax_number": "515-643-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.