Active NPI
Jennifer R Heffernan, MPT
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1942569504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 15734
- Practice address
- 6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131 - Phone
- (954) 941-6301
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- No
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 | PT 15734 | FL | Primary |
Addresses
Primary practice location
6521 N Andrews Ave
Fort Lauderdale, FL 33309-2131
Mailing address
11945 Atlantic Cir
Boca Raton, FL 33428-5607
Phone (561) 853-4980
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15734 | FL | MD | Clinical Social Worker |
| PT 15734 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1942569504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 ATLANTIC CIR",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334285607",
"telephone_number": "561-853-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6521 N ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333092131",
"telephone_number": "954-941-6301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFERNAN",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 15734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.