Jennifer Susan Kast, P.T, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5638 Issued in OR

Practice address

500 Indiana Ave
Winslow, AZ 86047-2169

Phone

(928) 289-6297

NPI assigned

Jan 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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 and National Provider Directory roles.

• Tuba City Regional Health Care Corporation

  • General Acute Care Hospital
  • Tuba City, AZ
  • NPI 1548294424

  TX

  Medicare reassignment NPD
• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Winslow, AZ
  • NPI 1184729493

  TX

  Medicare reassignment NPD
• Dilkon Medical Center

  • Federal Public Health Clinic/Center
  • Dilkon, AZ
  • NPI 1306016126
  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Cameron, AZ
  • NPI 1134382211
  NPD
• Tuba City Regional Health Care Corporation

  • Family Medicine Physician
  • Bodaway Gap, AZ
  • NPI 1710519913
  NPD
• Winslow Indian Health Care Center, Inc

  • Land Ambulance
  • Winslow, AZ
  • NPI 1477827368
  NPD
• Winslow Indian Health Care Center, Inc

  • Federal Public Health Clinic/Center
  • Leupp, AZ
  • NPI 1760652580
  NPD (past)

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1881831915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 THISTLE RD",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047739",
            "telephone_number": "619-607-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 INDIANA AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472169",
            "telephone_number": "928-289-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "JENNIFER",
        "middle_name": "SUSAN",
        "credential": "P.T, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Inpatient Services of Winslow LLC
• Darrell T House, LADAC
• K.R.J. Transit, Incorparted
• Rosemary Kai II
• Ramanjeet Kanda
• Valerie Kelley, RN
• Jeannie Ellen Khane, RN
• Orlinda Kinlecheenie, RN
• Maria Dolores Kinley
• Vinicius Knabben, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.