Jennifer L Tennis, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01406 Issued in KS

Practice address

21250 W 151St St
Olathe, KS 66061-8100

Phone

(913) 390-0444

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1710061759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 PARKER AVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641701",
            "telephone_number": "913-731-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660618100",
            "telephone_number": "913-390-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari L Taylor
• Kathryn Taylor, RPH, PHARM.D.
• Leticia Ann Holub Taylor, PH.D.
• Thomas R Taylor, D.C.
• Rebecca Teaford-Boldridge, LMAC
• Jenna Tenold, PA-C
• Kelsey Jade Tenpenny, MD
• Leslie Diane Thacker, LPC, PLPC
• Kush Vimalkumar Thaker, M.B.B.S
• The Evangelical Lutheran Good Samaritan Society

• Physical Therapy Assistant in Olathe, KS
• Providers in Olathe, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.