Individual provider Active NPI

Jennifer Paige Canter, P.T.

  • Physical Therapist
  • Jeffersonville, IN
National Provider Identifier
1740699008
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5517 Raintree RDG
Jeffersonville, IN 47130-7732
Phone
(812) 989-7095
NPI assigned
Aug 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 05005019A IN
Physical Therapist 225100000X Primary

Addresses

Primary practice location

5517 Raintree RDG
Jeffersonville, IN 47130-7732

Mailing address

1603 Tall Oaks Dr
Jeffersonville, IN 47130-6114
Phone (812) 989-7095

Other practice location 1

2105 Hamburg Pike
Jeffersonville, IN 47130-6301
Phone (812) 577-8542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05005019AINMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Jul 11, 2022 Accepting new patients
Creative Health Care Management LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

11570 E 126th St
Fishers, IN 46037
Phone (317) 349-5913

300 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 422-5511

10 S 9th St
Ste 4
Noblesville, IN 46060

Organizations & group practices 5

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1740699008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 TALL OAKS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471306114",
            "telephone_number": "812-989-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 RAINTREE RDG",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307732",
            "telephone_number": "812-989-7095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Hamburg Pike",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471306301",
            "country_code": "US",
            "telephone_number": "812-577-8542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTER",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05005019A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.