Active NPI
Jennifer A Hennigan, PT
- Physical Therapist
- Cranston, RI
National Provider Identifier
1609132596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00808
- Practice address
- 721 Reservoir Ave
Cranston, RI 02910-4430 - Phone
- (401) 946-4250
- Fax
- (401) 275-5645
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5309 | MA | |
| Physical Therapist | 225100000X | PT00808 | RI | Primary |
Addresses
Primary practice location
721 Reservoir Ave
Cranston, RI 02910-4430
Mailing address
27 Longley CT
Pawtucket, RI 02860-4201
Phone (401) 729-9651
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 |
|---|---|---|---|
| 5309 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1609132596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 LONGLEY CT",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028604201",
"telephone_number": "401-729-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 RESERVOIR AVE",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029104430",
"telephone_number": "401-946-4250",
"fax_number": "401-275-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNIGAN",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-05",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "5309",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT00808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cranston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.