Jennifer Paige Hoorn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160043778 Issued in WA

Practice address

20420 Marine Drive
Stanwood, WA 98292

Phone

(360) 652-7585

Fax

(360) 652-4594

NPI assigned

Oct 25, 2010

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

Other names 1

• Ms. Jennifer Paige Long Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1780984898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY",
            "address_2": "STE. 100",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97222",
            "telephone_number": "971-206-5200",
            "fax_number": "971-206-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20420 MARINE DRIVE",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "98292",
            "telephone_number": "360-652-7585",
            "fax_number": "360-652-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOORN",
        "first_name": "JENNIFER",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160043778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LONG",
            "middle_name": "PAIGE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Lister Hewlett, D.D.S.
• Magdalena Marie Hite, MS, ATC, LAT
• Carol L Hoeksema, MD
• Mary Hoffman, RN
• Amanda Holmes
• Daniel Wesley Roy Howard
• Barbara Gifford Hughes, L.AC.
• Laura Hurson, MA
• Quynh CHI Huynh, PHARMD
• Robert Hysa, DDS

• Physical Therapy Assistant in Stanwood, WA
• Providers in Stanwood, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.