Individual provider Active NPI

Jennifer Hurrell, P.T.M.S.

  • Physical Therapist
  • Narragansett, RI
National Provider Identifier
1760436760
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT01716 Issued in RI
Practice address
140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477
Phone
(401) 789-2077
Fax
(401) 782-4762
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT01716 RI Primary

Addresses

Primary practice location

140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477

Mailing address

158A Indigo Point Rd
Wakefield, RI 02879-6156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000520 RI Practitioner - Physical Therapist in Private Practice 4284808908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Physical Therapy IncGroup PAC ID 9537054648, 7 clinicians

Practice addresses (Care Compare)

140 Point Judith Rd
Suite 47
Narragansett, RI 02882-3477
Phone (401) 789-2077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT01716RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy, Inc. Physical Therapist CurrentSince Jun 24, 2002 Accepting new patients

Locations

140 Point Judith Rd
Ste 47
Point Judith, RI 02882
Phone (401) 789-2077

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1760436760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158A INDIGO POINT RD",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028796156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 POINT JUDITH RD",
            "address_2": "SUITE 47",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823477",
            "telephone_number": "401-789-2077",
            "fax_number": "401-782-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURRELL",
        "first_name": "JENNIFER",
        "credential": "P.T.M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT01716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.