Her Essence Physical Therapy & Wellness LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HER ESSENCE PHYSICAL THERAPY & WELLNESS LLC

Practice address

3846 Anderson Woods Dr
Jacksonville, FL 32218-9226

Phone

(904) 710-2729

NPI assigned

Sep 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janae V Cisero, PTNPI 1780149815

Title

Owner

Phone

(904) 710-2729

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janae V Cisero, PT

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1780149815
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1124676002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 ANDERSON WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189226",
            "telephone_number": "904-638-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 ANDERSON WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322189226",
            "telephone_number": "904-710-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3890 Dunn Ave Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186429",
            "country_code": "US",
            "telephone_number": "904-638-3176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HER ESSENCE PHYSICAL THERAPY & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "CISERO",
        "authorized_official_first_name": "JANAE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-710-2729",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Hentschel, DO, PHD
• Judith Hepburn, ARNP
• Tia Danielle Hepburn
• Kaloni Hepworth, RD LD/N
• Her Behavioral Health, LLC
• Her Garden LLC
• Brent D Herbel, MD
• Jasmine Herbert, LMHC
• Melynda Herbert, PHARMD
• Hazem Herbly, MD

• All providers in Jacksonville, FL
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.