Jacquelyn Henne

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-00673 Issued in KS

Practice address

909 SW Mulvane St
Topeka, KS 66606-1677

Phone

(785) 357-0301

Fax

(785) 357-6589

NPI assigned

Sep 24, 2014

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 identifiers 1

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1861894511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6241",
            "fax_number": "785-270-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW MULVANE ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061677",
            "telephone_number": "785-357-0301",
            "fax_number": "785-357-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNE",
        "first_name": "JACQUELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-00673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Hendrickson
• Desiree Henery
• Elizabeth A Henkemeyer, FNP BC
• Marco Henkemeyer
• Denise Winzer Henn, OTR/L
• Kelly Hennes, PT
• Allison Henry, RD
• Allison J Henry, T-LMFT
• Jennifer Jean Henry, RDMS
• Shannon L Hensleigh, APRN

• Physical Therapist in Topeka, KS
• Providers in Topeka, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.