Jacob J Lenthall, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24997 Issued in MA

Practice address

30 Glennie St
Worcester, MA 01605-3917

Phone

(508) 791-8740

Fax

(508) 752-3716

NPI assigned

Aug 7, 2020

Sex

Male

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1609486208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GLENNIE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053917",
            "telephone_number": "508-791-8740",
            "fax_number": "508-752-3716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTHALL",
        "first_name": "JACOB",
        "middle_name": "J",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "24997",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Worcester",
            "affiliation": "N",
            "address_1": "30 Glennie St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016053917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaclyn Mayer Lemoine, CNP
• Cheryl Lemon, LICSW
• Gitte Lenaerts, BS
• Robert L. Lenhardt, MSW
• Victoria Leigh Lenihan, RN
• Jennifer June Lenz, D.C.
• Allison Victoria Leo
• Brianna Marie Leon, MSW
• Joseph Leon
• Marisol Leon

• Physical Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.