Healthcare Provider Details

I. General information

NPI: 1487442398
Provider Name (Legal Business Name): JENNY GREENZWEIG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 E 1ST ST STE 2000
ANKENY IA
50021-2077
US

IV. Provider business mailing address

PO BOX 1475
DES MOINES IA
50305-1475
US

V. Phone/Fax

Practice location:
  • Phone: 515-643-7555
  • Fax: 515-643-7560
Mailing address:
  • Phone: 515-643-7555
  • Fax: 515-643-7560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number108122
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: