Active NPI
Jennifer Marie Herbst, PT, DPT, ATC
- Physical Therapist
- Gilbert, AZ
National Provider Identifier
1922335124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8705
- Practice address
- 835 W Warner Rd
Suite 101-473
Gilbert, AZ 85233-7269 - Phone
- (480) 656-7657
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8705 | AZ | Primary |
Addresses
Primary practice location
835 W Warner Rd
Suite 101-473
Gilbert, AZ 85233-7269
Mailing address
1635 E Shari St
Queen Creek, AZ 85140-4093
Phone (480) 358-4072
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1922335124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 E SHARI ST",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851404093",
"telephone_number": "480-358-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 W WARNER RD",
"address_2": "SUITE 101-473",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852337269",
"telephone_number": "480-656-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBST",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.