Jenny Marie Londerholm, PT, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

1309249 Issued in TX

Practice address

614 Eaker St
Eden, TX 76837

Phone

(325) 869-5911

Fax

(325) 869-1112

NPI assigned

Mar 22, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jenny.londerholm@conchoch.com

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1134878614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "768370987",
            "telephone_number": "325-869-5911",
            "fax_number": "325-869-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAKER ST",
            "city": "EDEN",
            "state": "TX",
            "postal_code": "76837",
            "telephone_number": "325-869-5911",
            "fax_number": "325-869-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDERHOLM",
        "first_name": "JENNY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "1309249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny.londerholm@conchoch.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "614 EAKER ST",
            "city": "EDEN",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jakalyn Jane Gossett, PA
• Raul Mendez Guevara
• Anne Catherine Hofer, M.D.
• Ryleigh Annette Hyles
• Dalyn J Johnson, DDS
• Nneka Crystal Papillion, M.D.
• Provider Healthcare Services of Concho LP
• Randall L. Sloan, D.O., PLLC
• Kelli J Short, FNP
• Kelsey Torres

• Physical Medicine & Rehabilitation Physician in Eden, TX
• Providers in Eden, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.