Individual provider Active NPI

Jennifer Ferrell-Tester, P.T.

  • Physical Therapist
  • Ligonier, IN
National Provider Identifier
1679989974
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05007013A Issued in IN
Practice address
1464 Lincolnway S
Ligonier, IN 46767-9601
Phone
(260) 248-9662
Fax
(260) 894-3171
NPI assigned
Jul 8, 2014
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 05007013A IN Primary

Addresses

Primary practice location

1464 Lincolnway S
Ligonier, IN 46767-9601

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623001818 IN Practitioner - Physical Therapist in Private Practice 2961824867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Medicine Center of Northern Indiana, Inc CurrentSince Jan 13, 2025 Accepting new patients
Orthopedic and Sports Medicine Center of Northern Indiana Inc CurrentSince Jan 13, 2025 Accepting new patients
Community Hospital of Noble County, Inc. Past Accepting new patients

Locations

1720 Fulton St
Elkhart, IN 46514

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

1775 E Kercher Rd
Goshen, IN 46526
Phone (574) 533-0300

Organizations & group practices 3

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1679989974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 LINCOLNWAY S",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467679601",
            "telephone_number": "260-248-9662",
            "fax_number": "260-894-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL-TESTER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007013A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.