Jenna Harris, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019680 Issued in MI

Practice address

957 S Rochester Rd
Rochester Hills, MI 48307-2743

Phone

(248) 963-0503

Fax

(248) 963-1072

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Miettinen Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aquaticare Physical Therapy PCGroup PAC ID 6901972587, 6 clinicians

Athletico LTDGroup PAC ID 4789602681, shared by 41 NPIs, 2,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.miettinen.p4@direct.athleticoltd.nextgenshare.com

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.

• Aquaticare Physical Therapy P.C

  • Physical Therapy Clinic/Center
  • Clinton Township, MI
  • NPI 1336318120
  Medicare reassignment Care Compare group NPD
• Advanced Urogynecology of Michigan, P.C.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Dearborn, MI
  • NPI 1518936590
  Medicare reassignment NPD
• Empower Physical Therapy and Fitness

  • Physical Therapy Assistant
  • Clinton Township, MI
  • NPI 1083019277
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1457967507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072743",
            "telephone_number": "248-963-0503",
            "fax_number": "248-963-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MIETTINEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasnim Haque
• Marie Harb
• Harborpointe Therapies PLC
• Steven Anthony Hardy, D.O.
• Harpal S Jande MD PC
• Courtney Harrison
• Sue Harrison, CPSS
• Jennifer Ann Hart, RPH
• Jessica Hathaway
• Margaret Hay

• Physical Therapist in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.