Active NPI
Jennifer Ann Newcomer, DPT
- Physical Therapist
- Port Orchard, WA
National Provider Identifier
1467768036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60170787
- Practice address
- 519 Sidney Ave
Port Orchard, WA 98366-4542 - Phone
- (206) 487-2582
- NPI assigned
- Aug 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT60170787 | WA | Primary |
Addresses
Primary practice location
519 Sidney Ave
Port Orchard, WA 98366-4542
Mailing address
463 Tremont St W Ste 100
Port Orchard, WA 98366-3743
Phone (360) 874-0745
Other practice location 1
463 Tremont St W Ste 100
Port Orchard, WA 98366
Phone (360) 874-0745
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1467768036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 TREMONT ST W STE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663743",
"telephone_number": "360-874-0745",
"fax_number": "360-874-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 SIDNEY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664542",
"telephone_number": "206-487-2582"
}
],
"practiceLocations": [
{
"address_1": "463 Tremont St W Ste 100",
"address_purpose": "LOCATION",
"city": "Port Orchard",
"state": "WA",
"postal_code": "98366",
"country_code": "US",
"telephone_number": "360-874-0745",
"fax_number": "360-874-0846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWCOMER",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-20",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60170787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.