Active NPI
Jenna Lucretia Vain, PT, DPT
- Physical Therapist
- Irving, TX
National Provider Identifier
1487469664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1404791
- Practice address
- 1901 N Macarthur Blvd
Irving, TX 75061-2220 - Phone
- (972) 579-8510
- NPI assigned
- Feb 12, 2025
- 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 | 1404791 | TX | Primary |
Addresses
Primary practice location
1901 N Macarthur Blvd
Irving, TX 75061-2220
Mailing address
5225 Maple Ave Apt 5410
Dallas, TX 75235-8451
Phone (423) 443-1021
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1404791 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1487469664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 MAPLE AVE APT 5410",
"city": "DALLAS",
"state": "TX",
"postal_code": "752358451",
"telephone_number": "423-443-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N MACARTHUR BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750612220",
"telephone_number": "972-579-8510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAIN",
"first_name": "JENNA",
"middle_name": "LUCRETIA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1404791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.