Active NPI
Jon A Denney
- Physical Therapy Assistant
- Vincennes, IN
National Provider Identifier
1295087955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 00432
- Practice address
- 3801 Old Bruceville Rd
Vincennes, IN 47591-3889 - Phone
- (515) 270-6838
- NPI assigned
- Oct 4, 2012
- 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 Therapy Assistant | 225200000X | 00432 | IA | Primary |
Addresses
Primary practice location
3801 Old Bruceville Rd
Vincennes, IN 47591-3889
Mailing address
3204 E 8TH St
Des Moines, IA 50316-1110
Phone (515) 971-3513
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1295087955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 E 8TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503161110",
"telephone_number": "515-971-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 OLD BRUCEVILLE RD",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475913889",
"telephone_number": "515-270-6838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNEY",
"first_name": "JON",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IA",
"license": "00432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.