Active NPI
Jennifer Ann Hossain, M.P.T.
- Physical Therapist
- Morgan Hill, CA
National Provider Identifier
1568684371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24804
- Practice address
- 3110 Oak Leaf CT
Morgan Hill, CA 95037-6702 - Phone
- (408) 779-1652
- Fax
- (408) 779-1656
- NPI assigned
- May 2, 2007
- Last updated
- Aug 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT24804 | CA | Primary |
Addresses
Primary practice location
3110 Oak Leaf CT
Morgan Hill, CA 95037-6702
Mailing address
3217 Adelanto LN
San Jose, CA 95135-1059
Phone (408) 274-7101
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24804 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PT24804 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282608000000",
"number": "1568684371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 ADELANTO LN",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351059",
"telephone_number": "408-274-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3110 OAK LEAF CT",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950376702",
"telephone_number": "408-779-1652",
"fax_number": "408-779-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSAIN",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2010-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.