Individual provider Active NPI

Jenna M Burrows, DPT

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1477058238
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026744 Issued in PA
Practice address
800 N Delaware Ave Ste 120
Philadelphia, PA 19123-3181
Phone
(267) 519-3328
Fax
(267) 519-0547
NPI assigned
Mar 26, 2018
Last updated
Mar 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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 PT026744 PA Primary

Addresses

Primary practice location

800 N Delaware Ave Ste 120
Philadelphia, PA 19123-3181

Mailing address

PO Box 411503
Boston, MA 02241-1503
Phone (914) 265-4050

Other practice location 1

708 Main St
Harleysville, PA 19438-1636
Phone (267) 932-9177

Other names 1

  • Jenna M Kagan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412000300 PA Practitioner - Physical Therapist in Private Practice 2365705928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

2456 W Main St
West Norriton, PA 19403-3066
Phone (610) 630-0101

3400 Lancaster Ave
Philadelphia, PA 19104-4964
Phone (215) 662-0397

686 Dekalb Pike
Suite 101
Blue Bell, PA 19422-1258
Phone (610) 270-0300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Aug 7, 2018 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Jul 28, 2021 Accepting new patients
Proud Health Inc. Physical Therapist Current Accepting new patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Bucks Physical & Sports Rehabilitation LLC PastSince Mar 1, 2018 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

708 Main St
Harleysville, PA 19438
Phone (267) 932-9177

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

170 Pheasant Run
Fl 2
Newtown, PA 18940
Phone (215) 579-0777

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

1040 Millcreek Dr
Trevose, PA 19053
Phone (215) 357-2363

2456 W Main St
West Norriton, PA 19403
Phone (610) 630-0101

Organizations & group practices 5

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1477058238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022411503",
            "telephone_number": "914-265-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N DELAWARE AVE STE 120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233181",
            "telephone_number": "267-519-3328",
            "fax_number": "267-519-0547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Main St",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194381636",
            "country_code": "US",
            "telephone_number": "267-932-9177",
            "fax_number": "267-932-9180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KAGAN",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.