Individual provider Active NPI

Jennifer Suzanne Starchenko, PT

  • Physical Therapist
  • Allen Park, MI
National Provider Identifier
1629571328
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501010808 Issued in MI
Practice address
7445 Allen Rd Ste 102
Allen Park, MI 48101-1992
Phone
(313) 389-5600
NPI assigned
Mar 9, 2018
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 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 5501010808 MI Primary

Addresses

Primary practice location

7445 Allen Rd Ste 102
Allen Park, MI 48101-1992

Mailing address

18731 Parke East CT
Brownstown, MI 48193-4600
Phone (734) 674-8586

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstarchenko14739@direct.hfhs.org

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

LicenseStateTypeSpecialty
5501010808MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1629571328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18731 PARKE EAST CT",
            "city": "BROWNSTOWN",
            "state": "MI",
            "postal_code": "481934600",
            "telephone_number": "734-674-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD STE 102",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011992",
            "telephone_number": "313-389-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARCHENKO",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstarchenko14739@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "7445 Allen Rd Ste 102",
            "city": "Allen Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481011992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.