Active NPI
Jonathan Fenske, DPT
- Orthopedic Physical Therapist
- Woonsocket, RI
National Provider Identifier
1639888373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 16 Arnold St
Woonsocket, RI 02895-2902 - Phone
- (401) 765-2030
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | NU | Primary |
Addresses
Primary practice location
16 Arnold St
Woonsocket, RI 02895-2902
Mailing address
11808 Grant St FL 100
Omaha, NE 68164-3616
Phone (877) 230-3885
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1639888373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 GRANT ST FL 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681643616",
"telephone_number": "877-230-3885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 ARNOLD ST",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028952902",
"telephone_number": "401-765-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENSKE",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.