Individual provider Active NPI

Jennifer L McGinnis, P.T.

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1750436309
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2572 Issued in HI
Practice address
45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244
Phone
(808) 235-7999
Fax
(808) 235-7992
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 PT-2572 HI Primary

Addresses

Primary practice location

45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244

Mailing address

45-1144 Kamehameha Hwy
Suite 305
Kaneohe, HI 96744-3244
Phone (808) 235-7999

Other identifiers 1

IdentifierTypeStateIssuer
00000263459OtherHIHMSA

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
PT-2572HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Physical Therapy Physical Therapist CurrentSince Dec 18, 2015 Accepting new patients
Seashore Inc Physical Therapist Past Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients

Locations

45-1144 Kamehameha Hwy
Ste 305
Kaneohe, HI 96744
Phone (808) 235-7999

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1750436309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "SUITE 305",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "808-235-7999",
            "fax_number": "808-235-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-1144 KAMEHAMEHA HWY",
            "address_2": "SUITE 305",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443244",
            "telephone_number": "808-235-7999",
            "fax_number": "808-235-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-2572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00000263459",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.