Jenna Rotteger, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31815 Issued in AZ

Practice address

3536 Meridian Crossings Ste 240
Okemos, MI 48864-4586

Phone

(517) 347-2495

NPI assigned

Jun 10, 2021

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

Other names 1

• Jenna Klynstra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Crossroads Rehabilitation Limited Partnership

  • Physical Therapist
  • Okemos, MI
  • NPI 1083650550
  NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1962079681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644586",
            "telephone_number": "517-347-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MERIDIAN CROSSINGS STE 240",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644586",
            "telephone_number": "517-347-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 W Osborn Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850194037",
            "country_code": "US",
            "telephone_number": "602-272-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTTEGER",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KLYNSTRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rooted Resilience Therapy LLC
• Kayla Rose, LPC
• Senta Rose, M.A., LLP
• Laura Elizabeth Rosekrans
• Alyssa Ross
• Nathaniel Rourke
• Jessica Bryce Routhier, LPC NCC
• Matthew Grady Rowe, BT
• Cara Rozier
• Douglas Howard Ruben, PH.D.

• Physical Therapist in Okemos, MI
• Providers in Okemos, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.