Individual provider Active NPI

Orin Seth Jenckes, RKT

  • Kinesiotherapist
  • Augusta, GA
National Provider Identifier
1982460077
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
KinesiotherapistTaxonomy code 226300000X
License
2165 Issued in IL
Practice address
1 Freedom Way
Augusta, GA 30904-6285
Phone
(706) 733-0188
NPI assigned
Feb 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Kinesiotherapist 226300000X 2165 IL Primary

Addresses

Primary practice location

1 Freedom Way
Augusta, GA 30904-6285

Mailing address

3170 Skinner Mill Rd Apt Q8
Augusta, GA 30909-5027
Phone (228) 223-8673

Other practice location 1

950 15th St
Augusta, GA 30901-2608
Phone (703) 733-0188 ext. 26103

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2165ILMDKinesiotherapist

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1982460077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 SKINNER MILL RD APT Q8",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095027",
            "telephone_number": "228-223-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FREEDOM WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046285",
            "telephone_number": "706-733-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012608",
            "country_code": "US",
            "telephone_number": "703-733-0188 x26103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENCKES",
        "first_name": "ORIN",
        "middle_name": "SETH",
        "credential": "RKT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "IL",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.