NPIMap

Individual provider Active NPI

Jenna L Rourke, DPT

  • Physical Therapist
  • Somersworth, NH
National Provider Identifier
1437585734
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4760 Issued in NH
Practice address
7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523
Phone
(603) 749-6686
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5834 ME
Physical Therapist 225100000X 24695 MD
Physical Therapist 225100000X 4760 NH Primary

Addresses

Primary practice location

7 Marsh Brook Dr Ste 101
Somersworth, NH 03878-6523

Mailing address

449 Cat Mousam Rd
Kennebunk, ME 04043-6906
Phone (410) 876-8076

Other practice location 1

449 Cat Mousam Rd
Kennebunk, ME 04043-6906
Phone (410) 876-8076

Other practice location 2

511 Jermor Ln
Suite 102
Westminster, MD 21157-6151
Phone (410) 876-8076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000055 MD Practitioner - Physical Therapist in Private Practice 8628202074 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4760NHMDDentist
24695MDMDPharmacist
5834MEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Life Fitness Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

7310 Ritchie Hwy
Ste 500
Glen Burnie, MD 21061
Phone (410) 766-4047

31 Magothy Beach Rd
Ste 105
Pasadena, MD 21122
Phone (410) 437-3333

3708 Mountain Rd
Ste D
Pasadena, MD 21122
Phone (410) 255-4833

Organizations & group practices 4

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1437585734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 CAT MOUSAM RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436906",
            "telephone_number": "410-876-8076",
            "fax_number": "410-876-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARSH BROOK DR STE 101",
            "city": "SOMERSWORTH",
            "state": "NH",
            "postal_code": "038786523",
            "telephone_number": "603-749-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "449 Cat Mousam Rd",
            "address_purpose": "LOCATION",
            "city": "Kennebunk",
            "state": "ME",
            "postal_code": "040436906",
            "country_code": "US",
            "telephone_number": "410-876-8076",
            "fax_number": "410-876-3818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Jermor Ln",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576151",
            "country_code": "US",
            "telephone_number": "410-876-8076",
            "fax_number": "410-876-3818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROURKE",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2021-04-07",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "5834",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24695",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somersworth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.