Jennifer Lynn Heyworth, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011633 Issued in MI

Practice address

499 Range Rd
Marysville, MI 48040-2220

Phone

(810) 395-3743

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Lynn Redumski Other name

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598941783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4462 ATLAS RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238707",
            "telephone_number": "810-730-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 RANGE RD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402220",
            "telephone_number": "810-395-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 S Saginaw St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484391886",
            "country_code": "US",
            "telephone_number": "810-603-7008",
            "fax_number": "810-603-7010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEYWORTH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "REDUMSKI",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Physical Therapist in Marysville, MI
• Providers in Marysville, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.