Individual provider Active NPI

Jennifer Sergeant Hungate, PT, DPT, WCS, MS

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1306995139
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.013653 Issued in IL
Practice address
263 N York St
Suite 200
Elmhurst, IL 60126-2758
Phone
(331) 215-4164
Fax
(331) 223-9724
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.013653 IL Primary

Addresses

Primary practice location

263 N York St
Suite 200
Elmhurst, IL 60126-2758

Mailing address

263 N York St
Suite 200
Elmhurst, IL 60126-2758
Phone (331) 215-4164

Other names 1

  • Jennifer Rose Sergeant Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070.013653ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Women'S Physical Therapy and Wellness, LLC Physical Therapist Current Accepting new patients

Locations

263 N York St
Ste 200
Elmhurst, IL 60126
Phone (331) 215-4164

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1306995139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 N YORK ST",
            "address_2": "SUITE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262758",
            "telephone_number": "331-215-4164",
            "fax_number": "331-223-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 N YORK ST",
            "address_2": "SUITE 200",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262758",
            "telephone_number": "331-215-4164",
            "fax_number": "331-223-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGATE",
        "first_name": "JENNIFER",
        "middle_name": "SERGEANT",
        "credential": "PT, DPT, WCS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.013653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SERGEANT",
            "middle_name": "ROSE",
            "credential": "PT, DPT, WCS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.