Active NPI
Keisha Rochelle Jenkins
- Physical Therapy Assistant
- Orlando, FL
National Provider Identifier
1437475860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA3694
- Practice address
- 11301 Corporate Blvd
Suite101
Orlando, FL 32817-8354 - Phone
- (877) 896-3660
- NPI assigned
- Apr 9, 2010
- Last updated
- Apr 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA3694 | AL | Primary |
Addresses
Primary practice location
11301 Corporate Blvd
Suite101
Orlando, FL 32817-8354
Mailing address
11301 Corporate Blvd
Suite 101
Orlando, FL 32817-8354
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA3694 | AL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Therapy Partners | Past | Accepting new patients |
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.
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1689836686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1437475860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 CORPORATE BLVD",
"address_2": "SUITE 101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 CORPORATE BLVD",
"address_2": "SUITE101",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178354",
"telephone_number": "877-896-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KEISHA",
"middle_name": "ROCHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AL",
"license": "PTA3694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.