Jesse Hedrick

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE010336 Issued in PA

Practice address

4035 Green Pond Rd
Bethlehem, PA 18020-9662

Phone

(610) 865-5580

NPI assigned

Jun 29, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1831571629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 GREEN POND RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209662",
            "telephone_number": "610-865-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 GREEN POND RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180209662",
            "telephone_number": "610-865-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Heckenberger, DMD
• Daniel Heckman, M.D.
• Peter John Heckman, DMD
• Hecktown Volunteer Ambulance Corps, Inc.
• Hedi Hedayati, M.D.
• Autumn Paige Heffner, PA-C
• Maggie Heft
• Prabhdeep Hehar, D.O
• Heather Heilman, CRNA
• Vanessa K Heimbach, PAC

• Physical Therapy Assistant in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.