Active NPI
Jackson Higley
- Physical Therapist
- West Chester, OH
National Provider Identifier
1194408989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP034904T
- Practice address
- 7720 Dudley Dr
West Chester, OH 45069-2400 - Phone
- (513) 779-5410
- NPI assigned
- Aug 9, 2023
- Sex
- Male
- 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 | CP034904T | OH | Primary |
Addresses
Primary practice location
7720 Dudley Dr
West Chester, OH 45069-2400
Mailing address
9437 Olive Blvd
Olivette, MO 63132-3130
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 |
|---|---|---|---|
| CP034904T | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Rehabilitation of Ohio Inc | Past | Accepting new patients | |
| Rehabclinics SPT, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Beechwood, OH
- NPI 1740447895
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729382400000",
"number": "1194408989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9437 OLIVE BLVD",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7720 DUDLEY DR",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692400",
"telephone_number": "513-779-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGLEY",
"first_name": "JACKSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-09",
"last_updated": "2024-10-20",
"certification_date": "2024-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "CP034904T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.