Individual provider Active NPI

Jeffery Jennings, DPT

  • Physical Therapist
  • American Fork, UT
National Provider Identifier
1700395563
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9051839-2401 Issued in UT
Practice address
383 E 60 S Ste B
American Fork, UT 84003-3835
Phone
(801) 576-6417
Fax
(801) 576-7536
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 9051839-2401 UT Primary

Addresses

Primary practice location

383 E 60 S Ste B
American Fork, UT 84003-3835

Mailing address

383 E 60 S Ste B
American Fork, UT 84003-3835
Phone (801) 576-6417

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

State licenses

LicenseStateTypeSpecialty
9051839-2401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Associates of Utah PastSince Jul 24, 2022 Accepting new patients
Total Knee and Hip Rehabilitation Physical Therapy Physical Therapist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1700395563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 E 60 S STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-576-6417",
            "fax_number": "801-576-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 E 60 S STE B",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840033835",
            "telephone_number": "801-576-6417",
            "fax_number": "801-576-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JEFFERY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9051839-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

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

Verify at the official NPI Registry.