Active NPI
Jennifer Hoerning Baxley, P.T.
- Physical Therapist
- Watkinsville, GA
National Provider Identifier
1154572824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2840
- Practice address
- 1181 Arizona BND
Watkinsville, GA 30677-7770 - Phone
- (252) 425-4169
- NPI assigned
- Sep 30, 2008
- Last updated
- Oct 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2840 | NC | Primary |
Addresses
Primary practice location
1181 Arizona BND
Watkinsville, GA 30677-7770
Mailing address
1181 Arizona BND
Watkinsville, GA 30677-7770
Phone (252) 425-4169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2840 | NC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1154572824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1181 ARIZONA BND",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777770",
"telephone_number": "252-425-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1181 ARIZONA BND",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777770",
"telephone_number": "252-425-4169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "JENNIFER",
"middle_name": "HOERNING",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.