Individual provider Active NPI

Jennifer Lynn Dundore, P.T.

  • Physical Therapist
  • New Castle, PA
National Provider Identifier
1851522759
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019997 Issued in PA
Practice address
3135 Wilmington Rd
Suite 2
New Castle, PA 16105-1179
Phone
(724) 598-0000
NPI assigned
Jul 27, 2009
Last updated
Jul 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019997 PA Primary

Addresses

Primary practice location

3135 Wilmington Rd
Suite 2
New Castle, PA 16105-1179

Mailing address

202 Daugherty Rd
Grove City, PA 16127-4816
Phone (724) 372-3525

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

LicenseStateTypeSpecialty
PT019997PAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1851522759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DAUGHERTY RD",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274816",
            "telephone_number": "724-372-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 WILMINGTON RD",
            "address_2": "SUITE 2",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051179",
            "telephone_number": "724-598-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDORE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.