Jennifer Lynn Kohn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016808 Issued in MI

Practice address

1268 Perry Ave
Big Rapids, MI 49307-2115

Phone

(231) 796-4419

Fax

(231) 796-4980

NPI assigned

Nov 26, 2014

Last updated

Nov 26, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Physical Therapy Limited PartnershipGroup PAC ID 7618074220, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Clare, MI
  • NPI 1295740637
  Medicare reassignment Care Compare group NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Bay City, MI
  • NPI 1154647659
  NPD
• Evergreen Physical Therapy Limited Partnership

  • Physical Therapist
  • Midland, MI
  • NPI 1033122718
  NPD (past)

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1982001491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 PERRY AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072115",
            "telephone_number": "231-796-4419",
            "fax_number": "231-796-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 PERRY AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072115",
            "telephone_number": "231-796-4419",
            "fax_number": "231-796-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawan Khanafer
• Daniel Michael Killian, CNP
• Tyler Kime, PHARM.D.
• Thomas Francis Klimek, OD
• Grace Lynn Knapp
• Dennis Kordich, DDS
• Diane Marie Kordie-Trowbridge
• John Joseph Kozlowski IV, FNP
• Brandy Jo Krikke, LPN
• Holli Marie Krol, LLMSW

• Physical Therapist in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.