Provider Demographics
NPI:1265868574
Name:JENKINS, JOVANNI (DPT)
Entity type:Individual
Prefix:
First Name:JOVANNI
Middle Name:
Last Name:JENKINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:201 E CENTRAL EXPRESSWAY
Mailing Address - Street 2:SUITE 645
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548
Mailing Address - Country:US
Mailing Address - Phone:254-415-4850
Mailing Address - Fax:254-415-4855
Practice Address - Street 1:470 LENFANT PLZ SW
Practice Address - Street 2:SUITE 602
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2124
Practice Address - Country:US
Practice Address - Phone:202-863-0430
Practice Address - Fax:202-863-0433
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1229866225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist