Jenna Marie Kurtz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025630 Issued in PA

Practice address

16 Beal St
Machias, ME 04654-1003

Phone

(207) 255-3387

NPI assigned

May 23, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Arctic Chiropractic West Mat-Su, LLCGroup PAC ID 9436222171, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arctic Chiropractic West Mat-Su, LLC

  • Chiropractor
  • Big Lake, AK
  • NPI 1013047117
  Medicare reassignment Care Compare group NPD
• Arctic Therapy & Rehab Bethel

  • Physical Therapy Clinic/Center
  • Bethel, AK
  • NPI 1477936334
  Medicare reassignment NPD

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619404548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 LINCOLN ST",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145721414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BEAL ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541003",
            "telephone_number": "207-255-3387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423813",
            "country_code": "US",
            "telephone_number": "610-258-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210308",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Kerr, DO
• Lucy Lorin Kilton
• Kristina Knabenshue, LCPC
• Peter Josiah Knowles, D.C.
• Katelyn Koralewski, DPT
• Brooke Larrabee, CADC
• Laura Sturgis (Laura Sturgis, LCSW)
• Michele Leavitt
• Jeanine A. Leblanc-Grant, LADC
• Jon David Leclair, PTA

• Physical Therapist in Machias, ME
• Providers in Machias, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.