Jenna M Fulmer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021799 Issued in PA

Practice address

998 Main St Ste B
Bentleyville, PA 15314-1100

Phone

(724) 239-5777

NPI assigned

Jul 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Jenna Merchant Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novacare Outpatient Rehabilitation East Inc

  • Physical Therapy Clinic/Center
  • Ferndale, MI
  • NPI 1245235191
  NPD (past)
• Rehabclinics Galaxy Inc

  • Physical Therapy Clinic/Center
  • Greenfield, WI
  • NPI 1447250006
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1487900304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ASHWOOD DR STE 1100",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153174981",
            "telephone_number": "651-492-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 MAIN ST STE B",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141100",
            "telephone_number": "724-239-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "JENNA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23777",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102781395",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MERCHANT",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Joel S. Rozen & Associates PC
• Sarah R Eiklor, PT
• Exc., Inc
• Ashley Faddis, DDS
• Tammy Fendya
• Anant J Gandhi, MD
• Jessica Giordano, CRNP
• Kamlesh B Gosai, M.D.
• Diana Sue Guarinoni, P.T.
• Britney Harff

• Physical Therapist in Bentleyville, PA
• Providers in Bentleyville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.