Jennifer Lynne Perno, MPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

40QA00960100 Issued in NJ

Practice address

14 Parke Place Blvd
Suite D
Sewell, NJ 08080-2661

Phone

(856) 256-8393

Fax

(856) 256-8390

NPI assigned

Jul 14, 2005

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ipta Clinical, LLCGroup PAC ID 0749456119, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Neurology

  Medicare reassignment Care Compare group NPD
• Therasport Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sewell, NJ
  • NPI 1649486515

  Neurology

  Medicare reassignment NPD Authorized official
• 3 Dimensional Physical Therapy - Pelvic Health LLC

  • Physical Therapist
  • Medford, NJ
  • NPI 1275348500
  NPD (past)

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1508865379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PARKE PLACE BLVD",
            "address_2": "SUITE D",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802661",
            "telephone_number": "856-256-8393",
            "fax_number": "856-256-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PARKE PLACE BLVD",
            "address_2": "SUITE D",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802661",
            "telephone_number": "856-256-8393",
            "fax_number": "856-256-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNO",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "40QA00960100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2107652",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "1555347",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "51405",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Counseling Center, LLC
• Shauna Penney
• Nicole Peres, OTR/L
• Periodontal Associates of Southern New Jersey, P.C.
• Elana Perlow
• Louis P. Perri, MD
• Persante Sleep Care, Inc.
• Gregory Blase Persichetti, D.O.
• Jamie Petkovic, APN
• Michelle Petrongolo, PSY.D., BCBA

• Neurology Physical Therapist in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Neurology Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.