Active NPI
Orin Seth Jenckes, RKT
- Kinesiotherapist
- Augusta, GA
National Provider Identifier
1982460077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 2165
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2165 | IL | MD | Kinesiotherapist |
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.