Active NPI
Jennifer Hamble
- Physical Therapist
- Hollywood, FL
National Provider Identifier
1194236265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22911
- Practice address
- 2580 Pine Island Rd
Hollywood, FL 33024-8582 - Phone
- (479) 201-2000
- NPI assigned
- Oct 17, 2017
- 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 | 22911 | FL | Primary |
Addresses
Primary practice location
2580 Pine Island Rd
Hollywood, FL 33024-8582
Mailing address
8704 SW 52ND St
Cooper City, FL 33328-4316
Phone (917) 714-2262
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22911 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1194236265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8704 SW 52ND ST",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333284316",
"telephone_number": "917-714-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 PINE ISLAND RD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330248582",
"telephone_number": "479-201-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBLE",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "22911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.