Jennifer H Loos, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008123 Issued in CT

Practice address

82-86 Wolcott Hill Rd
Suite 102
Wethersfield, CT 06109-1252

Phone

(860) 436-3151

Fax

(860) 436-3277

NPI assigned

Jul 6, 2007

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

Other names 1

• Jennifer Hoedtke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1548468986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BUTLER DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333510",
            "telephone_number": "203-815-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-86 WOLCOTT HILL RD",
            "address_2": "SUITE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091252",
            "telephone_number": "860-436-3151",
            "fax_number": "860-436-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOS",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HOEDTKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Jason LCSW
• Chunhui Liu, L.AC, M.D
• Yuan-Young Liu, D.M.D.
• Dionna Lockett
• Fred Robert London, PHARMACIST
• Matthew Kent Luginbuhl, PT
• Hugh D. Macarthur, D.M.D.
• Peter Mace, CPO
• John C Madigan Jr., M.D.
• John Mammone

• Physical Therapist in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.