Organization Active NPI

Jennifer Tippmann, LLC

  • Physical Therapy Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1477957975
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT27423 Issued in FL
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

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Jennifer Marie Tippmann, PT, DPTNPI 1245621929
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.