Individual provider Active NPI

Jenny Resmondo, MS, PT

  • Physical Therapist
  • Summerdale, AL
National Provider Identifier
1467776419
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3664 Issued in AL
Practice address
16920 Koptis Rd
Summerdale, AL 36580-3843
Phone
(251) 236-4855
Fax
(251) 517-4127
NPI assigned
Mar 19, 2010
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3664 AL Primary

Addresses

Primary practice location

16920 Koptis Rd
Summerdale, AL 36580-3843

Mailing address

16920 Koptis Rd
Summerdale, AL 36580-3843
Phone (251) 964-7910

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200415003740 AL Practitioner - Physical Therapist in Private Practice 0840205621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16920 Koptis Rd
Summerdale, AL 36580-3843
Phone (251) 236-4855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
South Alabama Physiotherapy LLC CurrentSince Apr 8, 2020 Accepting new patients
Bodalia Rehab Services, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1467776419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16920 KOPTIS RD",
            "city": "SUMMERDALE",
            "state": "AL",
            "postal_code": "365803843",
            "telephone_number": "251-964-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16920 KOPTIS RD",
            "city": "SUMMERDALE",
            "state": "AL",
            "postal_code": "365803843",
            "telephone_number": "251-236-4855",
            "fax_number": "251-517-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESMONDO",
        "first_name": "JENNY",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerdale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.