Jenna Kirk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT030880 Issued in PA

Practice address

1786 Wilmington W Chester Pike Ste 200a
Glen Mills, PA 19342-8198

Phone

(484) 841-6154

Fax

(484) 841-6174

NPI assigned

Nov 14, 2022

Last updated

Nov 14, 2022By the provider in NPPES

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

Enrolled in PA, AZ2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Action Potential LLCGroup PAC ID 1850605312, 18 clinicians

Orthopedic Therapy and Wellness, PLLCGroup PAC ID 4880848415, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Potential, LLC

  dba Action Potential

  • Physical Therapy Clinic/Center
  • Glen Mills, PA
  • NPI 1831478692
  Medicare reassignment Care Compare group NPD
• Orthopedic Therapy and Wellness, PLLC

  • Orthopedic Physical Therapist
  • Tempe, AZ
  • NPI 1760729032
  Medicare reassignment Care Compare group NPD
• Orthopedic Therapy and Wellness

  dba Orthopedic Sports Therapy

  • Orthopedic Physical Therapist
  • Phoenix, AZ
  • NPI 1922842483
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1871201335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 200A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "484-841-6154",
            "fax_number": "484-841-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 WILMINGTON W CHESTER PIKE STE 200A",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193428198",
            "telephone_number": "484-841-6154",
            "fax_number": "484-841-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT030880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "WebPT document portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "1786 Wilmington W Chester Pike Ste 200A",
            "city": "Glen Mills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193428198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacqueline Kernaghan, PA-C
• Rosemary Kerwin, PHARMD
• Mitchell Robert Chiong Kho, MD
• Heather Kiesel
• Bernard F. King, D.O.
• Panyamol Pam Kittipongdaja, DO
• KJ Healthcare Group LLC
• Julia N Kleckner, PHARMD
• Barbara Cheyney Knickerbocker, PHD
• Angela Koehler

• Physical Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.