Individual provider Active NPI

Erin Marie Dennihan, PT, MPT

  • Physical Therapist
  • Lake Mary, FL
National Provider Identifier
1194841643
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2004021463 Issued in MO
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

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170309001362 MO Practitioner - Physical Therapist in Private Practice 1355625427 Reassigns benefits to 1 organization
I20170309001504 KS Practitioner - Physical Therapist in Private Practice 1355625427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 4264ARMDPhysical 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.

Verify at the official NPI Registry.