Jenna Noelle Michener, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213083 Issued in VA

Practice address

17340 Pickwick Dr Ste 120
Purcellville, VA 20132-6182

Phone

(540) 338-0685

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fox Rehabilitation Services LLC

  • Physical Therapist
  • Winchester, VA
  • NPI 1609814755

  DC, Multi-Specialty

  Medicare reassignment NPD
• Leesburg Sports, Inc.

  • Physical Therapy Clinic/Center
  • Lovettsville, VA
  • NPI 1952006272

  Multi-Specialty

  Medicare reassignment NPD
• Loudoun Sports Therapy Center, LLC

  • Physical Therapist
  • Sterling, VA
  • NPI 1003915000

  Multi-Specialty

  Medicare reassignment NPD
• Ati Holdings, LLC

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DC

  Medicare reassignment

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1720564461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR STE 120",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326182",
            "telephone_number": "540-338-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 PICKWICK DR STE 120",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201326182",
            "telephone_number": "540-338-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHENER",
        "first_name": "JENNA",
        "middle_name": "NOELLE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27138",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medics USA, Inc
• Wilmer Luis Melendez Negron, DC
• Metro Optical, LLC
• Jamie Lynn Meyer
• MGS DDS PC
• Clarke Miller
• Megan Marie Monos
• Wendi Morfitt, M.D.
• Mountain View Therapy Group
• MVP Assisting, LLC

• Physical Therapist in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.