Active NPI
Jennifer R Denniston, MPT
- Geriatric Physical Therapist
- West Grove, PA
National Provider Identifier
1609396019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- PT022522
- Practice address
- 315 E London Grove Rd
West Grove, PA 19390-9239 - Phone
- (610) 869-2456
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT022522 | PA | Primary |
Addresses
Primary practice location
315 E London Grove Rd
West Grove, PA 19390-9239
Mailing address
315 E London Grove Rd
West Grove, PA 19390-9239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT022522 | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022522 | PA | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1609396019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E LONDON GROVE RD",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E LONDON GROVE RD",
"city": "WEST GROVE",
"state": "PA",
"postal_code": "193909239",
"telephone_number": "610-869-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNISTON",
"first_name": "JENNIFER",
"middle_name": "R",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-27",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "PA",
"license": "PT022522",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT022522",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.