Active NPI
James Herdeman, P.T.
- Physical Therapist
- Orlando, FL
National Provider Identifier
1952519050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3443
- Practice address
- 3505 Lake Lynda Dr
Suite 207
Orlando, FL 32817-8324 - Phone
- (877) 896-3660
- NPI assigned
- May 20, 2007
- Sex
- Male
- 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 | 3443 | WI | Primary |
Addresses
Primary practice location
3505 Lake Lynda Dr
Suite 207
Orlando, FL 32817-8324
Mailing address
228 N Main St
Apt. C
Cottage Grove, WI 53527-9703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40143700 | Medicaid | WI |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3443 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1952519050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 N MAIN ST",
"address_2": "APT. C",
"city": "COTTAGE GROVE",
"state": "WI",
"postal_code": "535279703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 LAKE LYNDA DR",
"address_2": "SUITE 207",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178324",
"telephone_number": "877-896-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERDEMAN",
"first_name": "JAMES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40143700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
- April Dawn Herbst, MD
- Remi Jordan Herbst, M.S. CF-SLP
- Angela Hercules-Jackson, BEHAVIOR TECHNICIAN
- Sylvia Herculez, APRN
- Stacey Herdegen, LMFT, NCC
- Here for You Counseling and Consulting LLC
- Heredia Health Clinic Inc (ChiroMedica Wellness Center)
- Lorieann Heredia-Solano, LMHC
- Edith Sofia Heredia
- Felixmar Rosalin Heredia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.