Active NPI
Jennerational Rehab LLC
Doing business as Fleming Physical Therapy
- Physical Therapist
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- JENNERATIONAL REHAB LLC
- Doing business as
- Fleming Physical Therapy
- Practice address
- 4638 Bit and Spur Rd
Mobile, AL 36608-2646 - Phone
- (251) 445-7618
- Fax
- (251) 445-3722
- NPI assigned
- Jan 4, 2024
- Last updated
- Mar 12, 2024
- 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
- Marissa Jadick
- Title
- Credentialing
- Phone
- (251) 445-3391
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
4638 Bit and Spur Rd
Mobile, AL 36608-2646
Mailing address
4638 Bit and Spur Rd
Mobile, AL 36608-2646
Other names 1
- Fleming Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240216003661 | AL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 0446694491 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment Practice locations: Mobile, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba The Pelvic Floor Institute
- Physical Therapist
- Mobile, AL
- NPI 1861228512
O20240216003661
National Provider Directory
National Provider Directory- Tax ID family
- Jennerational Rehab LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Mobile, AL
- NPI 1689903247
-
- Physical Therapist
- Mobile, AL
- NPI 1356096911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1528838281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4638 BIT AND SPUR RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4638 BIT AND SPUR RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082646",
"telephone_number": "251-445-7618",
"fax_number": "251-445-3722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNERATIONAL REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-04",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "JADICK",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "251-445-3391"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fleming Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mobile, AL
- Jenifer Dewald Leber LLC (Corsentino Chiropractic)
- Carley Allison Jenkins, PT, DPT
- Christopher Lacy Jenkins, M.D.
- Ciara Corban Jenkins, MD
- Connecyt Jenkins, CRNP/AGPCNP-C
- Jennerational Rehab LLC (The Pelvic Floor Institute)
- Jessica Jensen, CRNP
- Jeppsen Enterprises
- Mary Louise Jeppsen, MHPP
- Valynda Jerome-Williams
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.