Individual provider Active NPI

Janet Carlson Tennies, PT

  • Physical Therapist
  • McKeesport, PA
National Provider Identifier
1902926090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007865L Issued in PA
Practice address
1305 5TH Ave
McKeesport, PA 15132-2424
Phone
(412) 675-3117
Fax
(412) 675-3127
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007865L PA Primary

Addresses

Primary practice location

1305 5TH Ave
McKeesport, PA 15132-2424

Mailing address

121 Main Entrance Dr
West Mifflin, PA 15122-1153
Phone (412) 461-2552

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT007865LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902926090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN ENTRANCE DR",
            "city": "WEST MIFFLIN",
            "state": "PA",
            "postal_code": "151221153",
            "telephone_number": "412-461-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 5TH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322424",
            "telephone_number": "412-675-3117",
            "fax_number": "412-675-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIES",
        "first_name": "JANET",
        "middle_name": "CARLSON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007865L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.