Jeffrey Herdle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT02784 Issued in RI

Practice address

2006 Nooseneck Hill Rd
Coventry, RI 02816-6708

Phone

(401) 822-3676

NPI assigned

Jun 2, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Four Winds Chiropractic, Inc.

  dba Four Winds Chiropractic

  • Chiropractor
  • Coventry, RI
  • NPI 1336340991
  NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1376237438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 NOOSENECK HILL RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166708",
            "telephone_number": "401-822-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 NOOSENECK HILL RD",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028166708",
            "telephone_number": "401-822-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDLE",
        "first_name": "JEFFREY",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "RI",
            "license": "MT02784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa N Head, OD
• Ellen C Healy, LMHC
• Heart and Home Support Services LLC
• Donald Bruce Hebb III, MD
• Kathleen Marie Hemphill, REGISTERED NURSE
• Caryn Hey
• Hopkins Hill Road Fire Department (Hopkins Hill Fire Department)
• Matthew Christopher Hopkins, DPT
• Bethany A Horne
• Megan Leigh Horton, DPT

• Massage Therapist in Coventry, RI
• Providers in Coventry, RI by specialty
• Massage Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.