Provider Demographics
NPI:1790652667
Name:TRINIDAD, JENNIFER JOY T (DPT, CNS)
Entity type:Individual
Prefix:
First Name:JENNIFER JOY
Middle Name:T
Last Name:TRINIDAD
Suffix:
Gender:F
Credentials:DPT, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5840 26TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-3522
Mailing Address - Country:US
Mailing Address - Phone:941-752-5184
Mailing Address - Fax:
Practice Address - Street 1:5840 26TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3522
Practice Address - Country:US
Practice Address - Phone:941-752-5184
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist