Individual provider Active NPI

Cassandra Marie Jenkins, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1568283091
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009126 Issued in KY
Practice address
1249 US 31W Byp Ste 200
Bowling Green, KY 42101-2557
Phone
(270) 807-8275
Fax
(270) 807-8274
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009126 KY Primary

Addresses

Primary practice location

1249 US 31W Byp Ste 200
Bowling Green, KY 42101-2557

Mailing address

1249 US 31W Byp Ste 200
Bowling Green, KY 42101-2557
Phone (270) 807-8275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001031 KY Practitioner - Physical Therapist in Private Practice 1456886696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009126KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation and Performance Institute PSC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

1249 US 31W Byp
Ste 200
Bowling Green, KY 42101
Phone (270) 807-8275

418 W 3rd St
Owensboro, KY 42301
Phone (270) 926-8145

412 E 2nd St
Owensboro, KY 42303
Phone (270) 926-8145

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1568283091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 US 31W BYP STE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012557",
            "telephone_number": "270-807-8275",
            "fax_number": "270-807-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 US 31W BYP STE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012557",
            "telephone_number": "270-807-8275",
            "fax_number": "270-807-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "CASSANDRA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.