Active NPI
Calandra Jenkins, PT
- Physical Therapist
- Cleveland, OH
National Provider Identifier
1831919638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-8545
- Practice address
- 12300 McCracken Rd
Cleveland, OH 44125-2914 - Phone
- (216) 581-0500
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-8545 | OH | Primary |
Addresses
Primary practice location
12300 McCracken Rd
Cleveland, OH 44125-2914
Mailing address
2330 Fordham LN
Broadview Heights, OH 44147-4429
Phone (216) 849-5133
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-8545 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1831919638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 FORDHAM LN",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441474429",
"telephone_number": "216-849-5133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 MCCRACKEN RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441252914",
"telephone_number": "216-581-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "CALANDRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT-8545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.