Jenna Marie Hagedorn, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2009005831 Issued in MO

Practice address

78 Kenrick PLZ
Saint Louis, MO 63119-4414

Phone

(314) 962-8020

Fax

(314) 962-6570

NPI assigned

Mar 10, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1861633521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 KENRICK PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194414",
            "telephone_number": "314-962-8020",
            "fax_number": "314-962-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGEDORN",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2009005831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Hafford, OD
• Erica Lashawn Hagan, LMFT
• Robert R Hagan, MD
• Lindsey Megan Hagberg, MD
• Amanda Hagedorn, RD, LD, CLC
• Andrea Ruth Hagemann, MD
• Ian Sean Hagemann, MD
• Kristi Diane Hagemann, MS, CCC-SLP
• Joanna L Hagemeier, CRNA
• Anne S. Hagen, MSW, LCSW

• Orthopedic Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.