Jaren Marie Pickens Gebhard, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011698 Issued in MI

Practice address

13105 Schavey Rd
Dewitt, MI 48820-9037

Phone

(517) 853-6800

Fax

(517) 853-6801

NPI assigned

Jun 23, 2009

Last updated

Oct 19, 2022By the provider in NPPES

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

Other names 1

• Jaren Marie Pickens Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy Michigan LLC

  • Physical Therapist
  • Midland, MI
  • NPI 1629740188
  Medicare reassignment NPD
• Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1134428642
  Medicare reassignment NPD
• Ryan and Monica Wohlfert, PC

  dba Total Health Chiropractic Center

  • Chiropractor
  • Lansing, MI
  • NPI 1952478125
  NPD

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1710115258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 WESTSHIRE DR STE 105",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178687",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13105 SCHAVEY RD",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209037",
            "telephone_number": "517-853-6800",
            "fax_number": "517-853-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBHARD",
        "first_name": "JAREN",
        "middle_name": "MARIE PICKENS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.peakperformanceompt.com",
            "affiliation": "N",
            "address_1": "13105 Schavey Rd",
            "city": "DeWitt",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488209037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JAREN",
            "last_name": "PICKENS",
            "middle_name": "MARIE",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward W. Sparrow Hospital Association (Sparrow Medical Group DeWitt)
• David Joseph Fedewa, D.M.D.
• Mary Margaret Fedewa, CRNP CNS
• Jana Marie Fisher, O.D.
• Emily Anne Fritz
• Jason Michael Gilliam, LMSW
• Kaylea Sayle Goerge-Flowers
• Alberto Gomez, OD
• Peter Timothy Graham, MD
• Faith June-Marie Gray, MA, CF-SLP

• Physical Therapist in Dewitt, MI
• Providers in Dewitt, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.