Jensyn Roskelly, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501020023 Issued in MI

Practice address

223 Kalamazoo St
East Lansing, MI 48824-5400

Phone

(517) 355-1627

NPI assigned

Nov 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1578076253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 ORE KNOB DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309237",
            "telephone_number": "810-845-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 KALAMAZOO ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488245400",
            "telephone_number": "517-355-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSKELLY",
        "first_name": "JENSYN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-16",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002060",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501020023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Rosenbaum, DO
• Robert Warren Rosenbaum, MD
• Kenneth Daniel Rosenman, M.D.
• Edward R Rosick, D.O.
• Julianne Rosinski, L.AC.
• Steven Eric Roskos, MD
• Stanley J Rosol, DO
• Amanda Michelle Rososko
• Albert B Ross, MD
• Barbara Jill Rossen, ACSW, LMFT

• Physical Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.