Jeanene M Nover MPT PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008354 Issued in WA

Legal business name

JEANENE M NOVER MPT PLLC

Practice address

840 Madison Ave N
Suite 102
Bainbridge Island, WA 98110-1769

Phone

(206) 855-0955

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Jeanene Marie Nover, MPTNPI 1003842857

Title

Owner

Phone

(206) 855-0955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanene Marie Nover, MPT

  • Physical Therapist
  • Bainbridge Island, WA
  • NPI 1003842857
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700803426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANENE M NOVER MPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVER",
        "authorized_official_first_name": "JEANENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-855-0955",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.