Active NPI
Erin Marie Dennihan, PT, MPT
- Physical Therapist
- Lake Mary, FL
National Provider Identifier
1194841643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2004021463
- Practice address
- 250 International Pkwy
Suite 260
Lake Mary, FL 32746-5030 - Phone
- (800) 806-6026
- NPI assigned
- Mar 22, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2004021463 | MO | Primary |
| Physical Therapist | 225100000X | 11-03412 | KS | |
| Physical Therapist | 225100000X | PT 4264 | AR |
Addresses
Primary practice location
250 International Pkwy
Suite 260
Lake Mary, FL 32746-5030
Mailing address
12334 Granada LN
Leawood, KS 66209-2635
Phone (913) 221-4310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 4264 | AR | MD | Physical Therapist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1194841643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12334 GRANADA LN",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662092635",
"telephone_number": "913-221-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 INTERNATIONAL PKWY",
"address_2": "SUITE 260",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327465030",
"telephone_number": "800-806-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIHAN",
"first_name": "ERIN",
"middle_name": "MARIE",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2004021463",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-03412",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 4264",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.