Active NPI
Jennifer Tippmann, LLC
- Physical Therapy Clinic/Center
- Fort Pierce, FL
National Provider Identifier
1477957975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT27423
- Legal business name
- JENNIFER TIPPMANN, LLC
- Practice address
- 5745 Sterling Lake Dr
Fort Pierce, FL 34951-3120 - Phone
- (260) 715-0986
- NPI assigned
- Oct 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Marie Tippmann, PT, DPT
- Title
- Physical Therapist
- Phone
- (260) 715-0986
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT27423 | FL | Primary |
Addresses
Primary practice location
5745 Sterling Lake Dr
Fort Pierce, FL 34951-3120
Mailing address
5745 Sterling Lake Dr
Fort Pierce, FL 34951-3120
Phone (260) 715-0986
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Fort Wayne, IN
- NPI 1245621929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413244800000",
"number": "1477957975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5745 STERLING LAKE DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349513120",
"telephone_number": "260-715-0986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5745 STERLING LAKE DR",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349513120",
"telephone_number": "260-715-0986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER TIPPMANN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A",
"authorized_official_last_name": "TIPPMANN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "260-715-0986",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT27423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.