Jenny Strader, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14004 Issued in WI

Practice address

5800 Fairfield Ave Ste 150
Fort Wayne, IN 46807-3450

Phone

(260) 744-5585

Fax

(260) 744-5586

NPI assigned

Jul 3, 2007

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tenderness Therapy Center LLCGroup PAC ID 4688198849, 2 clinicians

Trinity Senior Services Care Partnering LLCGroup PAC ID 1759892409, 8 clinicians

Practice addresses (Care Compare)

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.

• Tenderness Therapy Center LLC

  • Occupational Therapist
  • Milwaukee, WI
  • NPI 1780482992

  Physical Therapist, WI

  Medicare reassignment Care Compare group NPD
• Trinity Senior Services Care Partnering LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1902600869
  Medicare reassignment Care Compare group NPD
• Steppin Up Physical Therapy, Inc.

  • Physical Therapist
  • Fort Wayne, IN
  • NPI 1043296510
  NPD (past)
• Steppin Up Physical Therapy, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1215005624
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1467659367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 TALON CT",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456646",
            "telephone_number": "260-615-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 FAIRFIELD AVE STE 150",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468073450",
            "telephone_number": "260-744-5585",
            "fax_number": "260-744-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADER",
        "first_name": "JENNY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14004",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009253A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Byard Stovall, MD
• Marcie Stover-Jividen, LSW
• Catherine Straber, RBT
• Faelynne Strable
• Haley Strack, PA-C
• Diane L Straessle, P.T.
• John J Straessle, P.T.
• Mark J Strahan, O.D.
• Ashlie Straka, LMHCA
• Catherine Straley

• All providers in Fort Wayne, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.