Jenny Donahue, PT
Individual provider Active NPI Specialist · Coventry, RI
NPI 1992993273 · NPPES record last updated Oct 11, 2007
Key facts
- NPI
- 1992993273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 791 (RI)
- Practice address
- 595 Matteson Rd
Coventry, RI 02816-5023 - Phone
- (401) 397-5871
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120409000508 | RI | Practitioner - Physical Therapist in Private Practice | 4183885734 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 791 | RI | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 791 | RI | Yes |
Addresses
Primary practice location
595 Matteson Rd
Coventry, RI 02816-5023
Mailing address
595 Matteson Rd
Coventry, RI 02816-5023
Other names
- Jenny Somers
Other providers in Coventry, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.