Individual provider Active NPI

William J. Hennessey, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Greensburg, PA
National Provider Identifier
1477589778
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD059682L Issued in PA
Practice address
120 Village Dr
Greensburg, PA 15601-3707
Phone
(724) 836-7590
Fax
(724) 836-7570
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD059682L PA Primary

Addresses

Primary practice location

120 Village Dr
Greensburg, PA 15601-3707

Mailing address

120 Village Dr
Greensburg, PA 15601-3707
Phone (724) 836-7590

Other identifiers 1

IdentifierTypeStateIssuer
01641780MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130001001 PA Practitioner - Physical Medicine and Rehabilitation 2860417623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Physical Medicine Inc Physical Medicine & Rehabilitation CurrentSince Jul 24, 1997 Accepting new patients

Locations

120 Village Dr
Greensburg, PA 15601
Phone (724) 420-5928

Interoperability endpoints

  • Direct secure messaging: whennessey@direct.excelahealth.org

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1477589778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013707",
            "telephone_number": "724-836-7590",
            "fax_number": "724-836-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 VILLAGE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013707",
            "telephone_number": "724-836-7590",
            "fax_number": "724-836-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD059682L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01641780",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.