Jennifer Mary Huddin, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02959 Issued in KS

Practice address

13420 Briar Dr Ste C
Leawood, KS 66209-3434

Phone

(913) 484-7632

Fax

(913) 808-5460

NPI assigned

Dec 2, 2016

Last updated

Mar 8, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1578006938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDIN",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Leawood, KS
• Providers in Leawood, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.