Individual provider Active NPI

Jennifer Perna, DPT

  • Physical Therapist
  • Newtown, PA
National Provider Identifier
1811393168
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
022149 Issued in PA
Practice address
57 Richboro Rd
Newtown, PA 18940-1534
Phone
(609) 647-1163
NPI assigned
Nov 14, 2014
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01465000 NJ
Physical Therapist 225100000X 022149 PA Primary

Addresses

Primary practice location

57 Richboro Rd
Newtown, PA 18940-1534

Mailing address

57 Richboro Rd
Newtown, PA 18940-1534
Phone (609) 647-1163

Other identifiers 2

IdentifierTypeStateIssuer
022149OtherPAPA PT LICENSE NUMBER
40QA01465000OtherNJNJ PT LICENSE

Other names 1

  • Jennifer Linden Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenn@vividwomenshealth.com

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
40QA01465000NJMDPhysical Therapist
022149PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Perfection, LLC CurrentSince May 17, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1811393168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 RICHBORO RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401534",
            "telephone_number": "609-647-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 RICHBORO RD",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401534",
            "telephone_number": "609-647-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNA",
        "first_name": "JENNIFER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01465000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "022149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PT LICENSE NUMBER",
            "identifier": "022149",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PT LICENSE",
            "identifier": "40QA01465000",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenn@vividwomenshealth.com",
            "affiliation": "N",
            "address_1": "57 Richboro Rd",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189401534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LINDEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.