Active NPI
Jessica L Jenney, PT, DPT
- Physical Therapist
- Tampa, FL
National Provider Identifier
1932432275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26356
- Practice address
- 5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457 - Phone
- (650) 867-0522
- NPI assigned
- Sep 17, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 031679-1 | NY | |
| Physical Therapist | 225100000X | 12714 | NC | |
| Physical Therapist | 225100000X | 26356 | FL | Primary |
Addresses
Primary practice location
5401 W Kennedy Blvd Ste 100
Tampa, FL 33609-2457
Mailing address
19030 Bates Ave
Eustis, FL 32736-2205
Phone (585) 738-7295
Other practice location 1
640 S Van Buren Rd
Suite B
Eden, NC 27288-5320
Phone (336) 623-0975
Other names 1
- Jessica L Jenney
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 |
|---|---|---|---|
| 12714 | NC | MD | Professional Counselor |
| 26356 | FL | MD | General Practice Dentistry |
| 031679-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concepts in Rehab Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fort Myers, FL
- NPI 1558458273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1932432275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19030 BATES AVE",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327362205",
"telephone_number": "585-738-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 W KENNEDY BLVD STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092457",
"telephone_number": "650-867-0522"
}
],
"practiceLocations": [
{
"address_1": "640 S Van Buren Rd",
"address_2": "SUITE B",
"address_purpose": "LOCATION",
"city": "Eden",
"state": "NC",
"postal_code": "272885320",
"country_code": "US",
"telephone_number": "336-623-0975",
"fax_number": "336-623-0977",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JENNEY",
"first_name": "JESSICA",
"middle_name": "L",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-17",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "031679-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12714",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "26356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "JENNEY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.