Individual provider Active NPI

Zoey Hernden

  • Physical Therapist
  • Lake Worth, FL
National Provider Identifier
1760924336
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36541 Issued in FL
Practice address
3898 Via Poinciana Ste 17
Lake Worth, FL 33467-2951
Phone
(561) 376-2573
NPI assigned
Nov 14, 2016
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 PT36541 FL Primary

Addresses

Primary practice location

3898 Via Poinciana Ste 17
Lake Worth, FL 33467-2951

Mailing address

11627 Rock Lake Ter
Boynton Beach, FL 33473-7825
Phone (954) 254-6765

Other practice location 1

1 Oakwood Blvd Ste 130
Hollywood, FL 33020-1937
Phone (954) 925-3844

Other practice location 2

6458 NW 99th Ave
Parkland, FL 33076-2336
Phone (954) 254-6765

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT36541FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1760924336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11627 ROCK LAKE TER",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737825",
            "telephone_number": "954-254-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA STE 17",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-376-2573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Oakwood Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330201937",
            "country_code": "US",
            "telephone_number": "954-925-3844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6458 NW 99th Ave",
            "address_purpose": "LOCATION",
            "city": "Parkland",
            "state": "FL",
            "postal_code": "330762336",
            "country_code": "US",
            "telephone_number": "954-254-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDEN",
        "first_name": "ZOEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.