Jennerational Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JENNERATIONAL REHAB LLC

Practice address

4638 Bit and Spur Rd
Mobile, AL 36608-2646

Phone

(251) 699-0295

Fax

(251) 699-0295

NPI assigned

Sep 10, 2024

Organization subpart

Yes

Parent organization

JENNERATIONAL REHAB LLCAs reported in NPPES

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

Authorized official

Name

Marissa Brooke Jadick

Title

Director, Credentialing

Phone

(251) 445-3391

Specialties & licenses 1

Addresses

Other names 1

• The Pelvic Floor Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jennerational Rehab LLC

  • Physical Therapist
  • Mobile, AL
  • NPI 1528838281

  O20240216003661

  Same enrollment

Tax ID family

Jennerational Rehab2 organizations share this tax ID, including this one

Part of

Jennerational Rehab

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jennerational Rehab LLC

  • Physical Therapist
  • Mobile, AL
  • NPI 1528838281
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Jennerational Rehab LLC

  • Physical Therapist
  • Mobile, AL
  • NPI 1528838281
  NPPES parent name

Practitioners 2

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

• Robert Fleming III, DPT

  • Specialist
  • Mobile, AL
  • NPI 1689903247
  NPD
• Alexandra Merz, PT, DPT

  • Physical Therapist
  • Mobile, AL
  • NPI 1356096911
  NPD

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1861228512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4638 BIT AND SPUR RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082646",
            "telephone_number": "251-699-0295",
            "fax_number": "251-699-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 BIT AND SPUR RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082646",
            "telephone_number": "251-699-0295",
            "fax_number": "251-699-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNERATIONAL REHAB LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JENNERATIONAL REHAB LLC",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "JADICK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "DIRECTOR, CREDENTIALING",
        "authorized_official_telephone_number": "251-445-3391"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pelvic Floor Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carley Allison Jenkins, PT, DPT
• Christopher Lacy Jenkins, M.D.
• Ciara Corban Jenkins, MD
• Connecyt Jenkins, CRNP/AGPCNP-C
• Jennerational Rehab LLC
• Jessica Jensen, CRNP
• Jeppsen Enterprises
• Mary Louise Jeppsen, MHPP
• Valynda Jerome-Williams
• Theodore Jeske

• Physical Therapist in Mobile, AL
• Providers in Mobile, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.