Michael H. Jennings Jr., MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003838 Issued in WA

Practice address

14800 Starfire Way
Tukwila, WA 98188-8502

Phone

(206) 267-7811

Fax

(206) 267-7813

NPI assigned

May 5, 2006

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Washington University School of Medicine, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Pappalardo

  • Physical Therapist
  • Tukwila, WA
  • NPI 1174300792
  Medicare reassignment

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fitness Concepts Holding PLLC

  dba MVP Movement and Performance PT

  • Physical Therapist
  • Tukwila, WA
  • NPI 1841999257
  NPD Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1972551505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 118TH AVE SE",
            "address_2": "STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053875",
            "telephone_number": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 STARFIRE WAY",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981888502",
            "telephone_number": "206-267-7811",
            "fax_number": "206-267-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_suffix": "Jr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342099",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mong Ting Jea, PT, DPT
• Jephtey Jean-Pierre
• Jeanne Isaacson, M.D., PC
• William H Jeffery
• Chelsea Anne Jennings, DPT
• Laura Jimenez, LMP, PTA
• Latisha Marie Jimerson-Hodge
• Priscilla Jin
• Patricia Y. Jitodai, O.D.
• Marcus Edward John, M.ED, CRC, LPC, LMHC

• Physical Therapist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.