Individual provider Active NPI

Jenna Wingrove, DPT

  • Physical Therapist
  • Uniontown, PA
National Provider Identifier
1629873294
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033079 Issued in PA
Practice address
4 Pedro Dr
Uniontown, PA 15401-5140
Phone
(724) 912-7878
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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 PT033079 PA Primary

Addresses

Primary practice location

4 Pedro Dr
Uniontown, PA 15401-5140

Mailing address

375 Dixon Blvd
Uniontown, PA 15401-3967
Phone (724) 562-0596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319000119 PA Practitioner - Physical Therapist in Private Practice 9032631163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Movement Physio Therapy and Performance LLCGroup PAC ID 4284965757, 3 clinicians

Practice addresses (Care Compare)

4 Pedro Dr
Uniontown, PA 15401-5140
Phone (724) 912-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Physio Therapy & Performance LLC Physical Therapist CurrentSince Feb 7, 2025 Accepting new patients

Locations

4 Pedro Dr
Uniontown, PA 15401
Phone (724) 912-7878

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1629873294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 DIXON BLVD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013967",
            "telephone_number": "724-562-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PEDRO DR",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015140",
            "telephone_number": "724-912-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGROVE",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.