Jennifer Elizabeth Komosinski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2404 N Stockton Hill Rd Ste K
Kingman, AZ 86401-4184

Phone

(928) 440-6880

NPI assigned

Aug 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northern Arizona Physical Therapy Associates

  • Physical Therapist
  • Bullhead City, AZ
  • NPI 1871079830
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1871105437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 N STOCKTON HILL RD STE K",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014184",
            "telephone_number": "928-440-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 N STOCKTON HILL RD STE K",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864014184",
            "telephone_number": "928-440-6880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 Hway 95 Ste 61",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864427896",
            "country_code": "US",
            "telephone_number": "781-315-3952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMOSINSKI",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "webPT",
            "affiliation": "N",
            "address_1": "2404 N Stockton Hill Rd Ste K",
            "city": "Kingman",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864014184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kingman Unified School District #20
• Matthew Kirsch
• Waldemar Klimach, M.D.
• Sarah L Knievel, MD
• Kokopelli Eye Care PC
• Steven Korona, MSN, RN, PMHNP
• Michael A Kort, DDS
• Jacqueline Kremer, PA-C
• Krikor Krikorian, DO
• Gina Marie Kristiansen

• Physical Therapist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.