MEDICARE: MRS. JENNIFER GILLETTE TOMPKINS PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	309444	CA
2	225100000X	Physical Therapist	1156506	TX

General Provider Information

NPI Number	:	1780790816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER GILLETTE TOMPKINS PT

Provider Business Mailing Address
First Line	:	4732 STONEHOLLOW WAY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7524
Country	:	US
Telephone Number	:	214-704-9245
Fax Number	:

Provider Business Practice Location Address
First Line	:	4732 STONEHOLLOW WAY
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-7524
Country	:	US
Telephone Number	:	214-704-9245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	01/02/2026

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