Individual provider Active NPI

Jennifer Anne-Marie Ninnemann, MSPT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1972650547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008130 Issued in WA
Practice address
1127 Tieton Dr
Yakima, WA 98902-3851
Phone
(509) 469-7474
NPI assigned
Jan 4, 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 PT00008130 WA Primary

Addresses

Primary practice location

1127 Tieton Dr
Yakima, WA 98902-3851

Mailing address

10533 Yakima Valley Hwy
Zillah, WA 98953-9793

Other identifiers 2

IdentifierTypeStateIssuer
162852OtherWAWA STATE L&I
8334757MedicaidWA

Other names 1

  • Jennifer Anne-Marie Laws Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001376 WA Practitioner - Physical Therapist in Private Practice 1759342140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Cox Physical Therapy, Inc.Group PAC ID 5496934549, 2 clinicians

Practice addresses (Care Compare)

508 W Division Ave
Ephrata, WA 98823-1887
Phone (509) 754-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Cox Physical Therapy, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Argonaut Peak Physical Therapy , Inc PS Physical Therapist PastSince Sep 28, 2010 Accepting new patients
Ephrata Medical Center P.S. PastSince Jan 1, 2023 Accepting new patients
Central Washington Physical Therapy Physical Therapist PastSince Oct 18, 1999 Accepting new patients

Locations

508 W Division Ave
Ephrata, WA 98823
Phone (509) 754-3563

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972650547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10533 YAKIMA VALLEY HWY",
            "city": "ZILLAH",
            "state": "WA",
            "postal_code": "989539793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 TIETON DR",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023851",
            "telephone_number": "509-469-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINNEMANN",
        "first_name": "JENNIFER",
        "middle_name": "ANNE-MARIE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE L&I",
            "identifier": "162852",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8334757",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LAWS",
            "middle_name": "ANNE-MARIE",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

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.
  • 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.