Jennifer M Von Antz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3339 Issued in MS

Practice address

5427 Gex Rd
Suite B
Diamondhead, MS 39525-3208

Phone

(228) 388-5714

Fax

(228) 388-0017

NPI assigned

Jul 23, 2013

Last updated

Oct 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD
• Encore Rehabilitation Inc

  dba Encore Rehab of Gulfport DT

  • Physical Therapy Clinic/Center
  • Gulfport, MS
  • NPI 1265567226

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Diamondhead

  • Physical Therapist
  • Diamondhead, MS
  • NPI 1881024156
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1942642657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE",
            "address_2": "STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5427 GEX RD",
            "address_2": "SUITE B",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253208",
            "telephone_number": "228-388-5714",
            "fax_number": "228-388-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON ANTZ",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Hutchinson Theriot, M.D.
• Jennifer Thompson, RN
• Cindy Tong, PHARM. D
• Larry A Torguson, RPH
• Total Rehab Plus LLC
• Jamie Vu
• Jennifer Marie Waggoner, C8432 LCSW
• Your Endocrinology Specialist, LLC

• Physical Therapist in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.