Active NPI
Angela Lynn Jennings, DPT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1881804177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6177
- Practice address
- 8703 E Golf Links Rd
Tucson, AZ 85730-1301 - Phone
- (520) 514-1114
- Fax
- (520) 514-2144
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6177 | AZ | Primary |
Addresses
Primary practice location
8703 E Golf Links Rd
Tucson, AZ 85730-1301
Mailing address
8703 E Golf Links Rd
Tucson, AZ 85730-1301
Phone (520) 514-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6177 | Other | AZ | STATE LISCENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6177 | AZ | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1881804177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8703 E GOLF LINKS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857301301",
"telephone_number": "520-514-1114",
"fax_number": "520-514-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8703 E GOLF LINKS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857301301",
"telephone_number": "520-514-1114",
"fax_number": "520-514-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "ANGELA",
"middle_name": "LYNN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "6177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISCENSE",
"identifier": "6177",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.