Physician Compare National (NPI:1831128834)

HEALTHCARE PROVIDER: JENNIFER LEE IANNUCCI PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831128834
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436473667
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150216000124
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IANNUCCI
	Individual professional last name
Provider First Name	JENNIFER
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6527 MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	LOWR LEVEL
	Group Practice or individual's line 2 address
City	TRUMBULL
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	066111385
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y