Individual provider Active NPI

Jennifer Patterson Juskowich, PT, DPT, NCS

  • Physical Therapist
  • Murfreesboro, TN
National Provider Identifier
1619580628
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12564 Issued in TN
Practice address
2866 S Church St
Murfreesboro, TN 37127-6374
Phone
(615) 890-5051
Fax
(615) 890-6411
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 12564 TN Primary

Addresses

Primary practice location

2866 S Church St
Murfreesboro, TN 37127-6374

Mailing address

PO Box 681478
Franklin, TN 37068-1478
Phone (615) 591-6590

Other identifiers 1

IdentifierTypeStateIssuer
0446631MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202000880 TN Practitioner - Physical Therapist in Private Practice 0244644367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2892 S Church St
Unit a
Murfreesboro, TN 37127-6374
Phone (615) 447-9520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12564TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist Current Accepting new patients
RWW Outpatient Rehab Services, LLC Physical Therapist CurrentSince Nov 8, 2021 Accepting new patients
Star Physical Therapy LP Physical Therapist PastSince Oct 24, 2021 Accepting new patients
Star Physical Therapy LP PastSince Oct 24, 2021 Accepting new patients

Locations

105 Glen Oak Blvd
Ste 101
Hendersonvlle, TN 37075
Phone (615) 826-6612

2892 S Church St
Ste A
Murfreesboro, TN 37127
Phone (615) 447-9520

Organizations & group practices 5

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1619580628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681478",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370681478",
            "telephone_number": "615-591-6590",
            "fax_number": "615-591-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276374",
            "telephone_number": "615-890-5051",
            "fax_number": "615-890-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSKOWICH",
        "first_name": "JENNIFER",
        "middle_name": "PATTERSON",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.