Individual provider Active NPI

Jennifer Preman, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1841701901
Registry record updated Nov 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3750 Issued in NV
Practice address
5165 Summit Ridge CT
Reno, NV 89523-9092
Phone
(775) 787-8200
NPI assigned
Oct 17, 2017
Last updated
Nov 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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
Physical Therapist 225100000X 3750 NV Primary

Addresses

Primary practice location

5165 Summit Ridge CT
Reno, NV 89523-9092

Mailing address

3641 Shale CT
Reno, NV 89503-1247
Phone (617) 538-1153

Other practice location 1

310 E Wardell Dr
Pembroke, NC 28372-7997
Phone (910) 521-1273

Other practice location 2

3050 N Ormsby Blvd
Carson City, NV 89703-8378
Phone (775) 841-4646

Other practice location 3

201 Koontz Ln
Carson City, NV 89701-5513
Phone (775) 883-3622

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
3750NVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605312000000",
    "number": "1841701901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 SHALE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031247",
            "telephone_number": "617-538-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 SUMMIT RIDGE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239092",
            "telephone_number": "775-787-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 E Wardell Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283727997",
            "country_code": "US",
            "telephone_number": "910-521-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 N Ormsby Blvd",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897038378",
            "country_code": "US",
            "telephone_number": "775-841-4646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Koontz Ln",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897015513",
            "country_code": "US",
            "telephone_number": "775-883-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREMAN",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2020-11-14",
        "certification_date": "2020-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.