Jennifer Robin Hudson, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23834 Issued in CA

Practice address

705 E Virginia Way
Suite N
Barstow, CA 92311-3978

Phone

(760) 256-9243

Fax

(760) 256-4069

NPI assigned

Jul 17, 2006

Last updated

Oct 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson & Walker - a Physical Therapy Corporation

  • Physical Therapist
  • San Bernardino, CA
  • NPI 1275845265
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1245258623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY",
            "address_2": "SUITE N",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113978",
            "telephone_number": "760-256-9243",
            "fax_number": "760-256-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY",
            "address_2": "SUITE N",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113978",
            "telephone_number": "760-256-9243",
            "fax_number": "760-256-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "JENNIFER",
        "middle_name": "ROBIN",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT23834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Lynn Hopper, RPT
• Hospital of Barstow Inc (Barstow Community Hospital)
• Allana Nicole Howard
• Alyshia Howard
• Henry Paul Howard, LPT
• William Howard Hudson, R.P.T.
• Marissa Brianne Huerta
• Melissa Huggins
• Jan Murray Hughes, OT
• Kensharra Shanay Humphrey

• Physical Therapist in Barstow, CA
• Providers in Barstow, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.