Jennifer Anne Whalls, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501017774 Issued in MI

Practice address

1235 S Center Rd
Unit 12
Burton, MI 48509-1700

Phone

(810) 743-8820

Fax

(810) 743-5908

NPI assigned

Jul 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DPT Holdings LLCGroup PAC ID 4688679293, 170 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DPT Holdings PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602

  MI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1821541566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S CENTER RD",
            "address_2": "UNIT 12",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091700",
            "telephone_number": "810-743-8820",
            "fax_number": "810-743-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S CENTER RD",
            "address_2": "UNIT 12",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091700",
            "telephone_number": "810-743-8820",
            "fax_number": "810-743-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALLS",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihsan Warich, MD
• Taleiya Warren-Johnson
• Moneka Lashay Washington
• Susan J Weiss, D.D.S.
• Isaiah Wells I
• Danielle Wheeler, PHARMD
• Kaela Rae White, NP
• Kiara Whitfield
• Robert Darrell Wickson
• Robert Stewart Wickware III

• Physical Therapist in Burton, MI
• Providers in Burton, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.