Individual provider Active NPI

Jennifer M Morin, PT, MSPT, OCS

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1720101009
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026889-1 Issued in NY
Practice address
2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645
Phone
(585) 473-1290
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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 026889-1 NY Primary

Addresses

Primary practice location

2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645

Mailing address

2561 Lac de Ville Blvd
Suite 100
Rochester, NY 14618-5645
Phone (585) 473-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140401001210 NY Practitioner - Physical Therapist in Private Practice 3173614807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Physical Therapy of Rochester PLLCGroup PAC ID 0244632628, 6 clinicians

Practice addresses (Care Compare)

141 Sullys TRL
Suite 3
Pittsford, NY 14534-4563
Phone (585) 203-1320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026889-1NYMDPhysical Therapist
026889NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Capacity LLC Physical Therapist CurrentSince Oct 19, 2020 Accepting new patients
Evolve Physical Therapy of Rochester PLLC Physical Therapist CurrentSince Apr 9, 2021 Accepting new patients
Specialty Physical Therapy Past Accepting new patients
Zoneci Medical PLLC Past Accepting new patients

Locations

141 Sullys Trl
Ste 3
Pittsford, NY 14534
Phone (585) 203-1320

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1720101009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-473-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-473-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT, MSPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.