Active NPI
Jennifer Ferrell-Tester, P.T.
- Physical Therapist
- Ligonier, IN
National Provider Identifier
1679989974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05007013A
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic and Sports Medicine Center of Northern Indiana, Inc | Current | Accepting new patients | |
| Orthopedic and Sports Medicine Center of Northern Indiana Inc | Current | 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.
-
dba Osmc
- Orthopaedic Surgery Physician
- Elkhart, IN
- NPI 1710085253
-
dba Osmc
- Durable Medical Equipment & Medical Supplies
- Granger, IN
- NPI 1962170357
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
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.