Jenkerson Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1047405 Issued in TX

Legal business name

JENKERSON PHYSICAL THERAPY, PLLC

Practice address

1500 W 38TH St
Suite 10
Austin, TX 78731-6321

Phone

(512) 459-3900

Fax

(512) 459-3911

NPI assigned

May 24, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Terrill W. Jenkerson, PTNPI 1326163742

Title

Owner

Phone

(512) 459-3900

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, and the practitioner matching its NPPES authorized official.

• Terrill Warren Jenkerson, PT

  • Physical Therapist
  • Austin, TX
  • NPI 1326163742
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1740491679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST",
            "address_2": "SUITE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316321",
            "telephone_number": "512-459-3900",
            "fax_number": "512-459-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST",
            "address_2": "SUITE 10",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316321",
            "telephone_number": "512-459-3900",
            "fax_number": "512-459-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKERSON PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "JENKERSON",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-459-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1047405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Ann Jelski, RDN, LDN
• Rachelle Sarah Jemal, MS, RD, CLC
• Lakeea Jemison
• Stacie Cummings Jempty, SLP
• Dana Chang Jeng, M.D.
• Terrill Warren Jenkerson, PT
• Amber C Jenkins
• Daitoyya Jenkins
• David Jenkins, LCSW
• Elizabeth Prezio Jenkins, M.D.

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.