DR. JENNA MOFFO (NPI# 1154779601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154779601 |
| Entity Type | Individual |
| Full Name | DR. JENNA MOFFO |
| Other Name | DR. JENNA COST |
| Credential | PT, DPT |
| Practice Address |
2161 Bolser Dr Cincinnati OH 45215-3933 |
| Mailing Address |
3430 Burnet Ave # 4007 Cincinnati OH 45229-2833 |
| Practice Telephone | 5137556600 |
| Mailing Telephone | 1380355375 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2187155 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2161 Bolser Dr, Cincinnati, OH 452153933 | 5137556600 |
| Street Address |
2161 BOLSER DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45215-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043744899 | A New Beginning Community Care, LLC | Home Health | 1 N. Commerce Park Dr, Suite 229, Cincinnati, OH 45215 | 2017-04-19 |
| 1407399777 | Youlanda Allen | Nurse's Aide | 2814 Raleigh Lane, Cincinnati, OH 45215 | 2016-11-18 |
| 1609273804 | Sharon Louise Antunes | Speech-Language Pathologist | 1720 Glendale Milford Rd., St. Rita School for The Deaf, Cincinnati, OH 45215 | 2014-12-03 |
| 1639574510 | Karen F. Rosen | Speech-Language Pathologist | 1720 Glendale - Milford Rd., Cincinnati, OH 45215 | 2014-11-04 |
| 1154633931 | Aila Mella | Physical Therapist | 743 Barney Ave, Wyoming, OH 45215 | 2010-07-08 |
| 1962584300 | Julia R Kinlaw | Dentist | 411 Wyoming Ave, Wyoming, OH 45215 | 2006-10-19 |
| 1598735029 | Prakash C Goyal | Internal Medicine | 10192 Springfield Pike, Cincinnati, OH 45215 | 2006-01-26 |
| 1295711711 | Jeffrey Louis Susman | Family Medicine | 305 Crescent Avenue, University Wyoming Family Practice Center, Cincinnati, OH 45215 | 2005-12-16 |
| 1518942705 | Kathleen Ann Downey | Family Medicine | University Wyoming Family Practice Center, 305 Crescent Avenue, Cincinnati, OH 45215 | 2005-12-09 |
| 1447769104 | Mia Garnett | Case Manager/Care Coordinator | 10296 Springfield Pike, Cincinnati, OH 45215 | 2017-09-26 |
| Find all providers in zip 45215 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679090427 | Courtney M Goldsbury | Physical Therapist | 3430 Burnet Ave # Mlc4007, Cincinnati, OH 45229-2833 | 2017-08-23 |
| 1336323856 | Lisa Davison | Physical Therapist | 7501 Wooster Pike, Cincinnati, OH 45227 | 2007-12-19 |
| 1619185477 | Kristen Bjorklund Sawyer | Physical Therapist | 2266 Clough Ridge Dr, Cincinnati, OH 45230-1489 | 2007-05-17 |
| 1043219264 | Caroline Timoney Colvin | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2005-07-19 |
| 1497361604 | Michael Vanlandingham | Physical Therapist | 11083 Hamilton Ave, Cincinnati, OH 45231-1409 | 2020-09-22 |
| 1922669084 | Brigid Griffin | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2019-06-27 |
| 1639636954 | Molly Thomas | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2019-02-22 |
| 1689147126 | Mollys Mays | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2019-01-08 |
| 1104399732 | Amy Mischnick | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2019-01-07 |
| 1194298729 | Erin Iverson | Physical Therapist | 3430 Burnet Ave # 4007, Cincinnati, OH 45229-2833 | 2019-01-07 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45215 |
Please comment or provide details below to improve the information on DR. JENNA MOFFO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.