Jeffrey Hennessy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304200 Issued in CA

Practice address

2001 Wilshire Blvd Ste 310
Santa Monica, CA 90403-5683

Phone

(310) 829-3320

NPI assigned

May 31, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1922747864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 310",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "310-829-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WILSHIRE BLVD STE 310",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035683",
            "telephone_number": "310-829-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014540",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orly Hendizadeh, D.D.S.
• Frank David Hendricks
• Darick Hendrix, MSW
• Kathryn Alyce Henick, M.D.
• Aryn Henige, PA-C
• Henry K.Kawamoto, Jr.,M.D,D.D.S.
• Lindsay N Henry, M.A.
• Samantha Nancy Henry
• Virginia Michaela Henry, MA
• Kimberly Anne Hepner, PH.D.

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.