Organization Active NPI

JKD Therapy & Body Werx LLC

  • Physical Therapy Clinic/Center
  • Greencastle, IN
National Provider Identifier
1821375189
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
05006979A Issued in IN
Legal business name
JKD THERAPY & BODY WERX LLC
Practice address
1140 Indianapolis Rd
Greencastle, IN 46135-1458
Phone
(765) 247-4901
Fax
(765) 246-4088
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Mrs. Janna Lee Kissel, PT
Title
Co-Owner, JKD Therapy & Body Werx L
Phone
(765) 247-4901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 05006979A IN Primary

Addresses

Primary practice location

1140 Indianapolis Rd
Greencastle, IN 46135-1458

Mailing address

PO Box 923
Greencastle, IN 46135-0923
Phone (765) 247-4901

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1821375189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461350923",
            "telephone_number": "765-247-4901",
            "fax_number": "765-246-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 INDIANAPOLIS RD",
            "city": "GREENCASTLE",
            "state": "IN",
            "postal_code": "461351458",
            "telephone_number": "765-247-4901",
            "fax_number": "765-246-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKD THERAPY & BODY WERX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "KISSEL",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CO-OWNER, JKD THERAPY & BODY WERX L",
        "authorized_official_telephone_number": "765-247-4901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IN",
            "license": "05006979A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greencastle, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.