Jennifer L Groen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

00829 Issued in IA

Practice address

1037 19TH St SW
Mason City, IA 50401-6436

Phone

(641) 423-0428

NPI assigned

Oct 2, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1639776602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N VAN BUREN AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011954",
            "telephone_number": "641-512-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016436",
            "telephone_number": "641-423-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROEN",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgroen@onr-inc.com",
            "affiliation": "N",
            "address_1": "1037 19th St SW",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504016436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Traci Grady, R.N.
• Tonya L Gray, MD
• Sharon Jeanette Griffiths, PHARMD
• Gregory Grimberg, MD
• Debra K Groath, ARNP
• Kelly Diane Grunhovd, BA, CPS-R
• Joseph S Gullickson, DPT
• Jalaja Gundrathi, M.D
• Eva Gutierrez Ackerely, TCADC
• Alysha Nicole Haaland, LMSW

• Physical Therapy Assistant in Mason City, IA
• Providers in Mason City, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.