Jill Marie Havens, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.014653 Issued in OH

Practice address

7423 S Mason Montgomery Rd
Suite a
Mason, OH 45040-7828

Phone

(513) 347-9999

Fax

(513) 573-9178

NPI assigned

Apr 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jill Marie Havens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1992125157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 S MASON MONTGOMERY RD",
            "address_2": "SUITE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407828",
            "telephone_number": "513-347-9999",
            "fax_number": "513-573-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 S MASON MONTGOMERY RD",
            "address_2": "SUITE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407828",
            "telephone_number": "513-347-9999",
            "fax_number": "513-573-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-25",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.014653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "HAVENS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bakhtier Hasan, M.D.
• Syed H. Hassan, DDS
• Aaniyah Hatcher
• Shelby Loraine Hatton
• Destiny Havens, CDCA
• Tina Haverland, APRN
• David Lyle Haverstick, JD, CNIM
• Kearston Hawkins-Johnson
• Justin Daniel Hawks, PHARMD
• Kristen Michelle Hayes

• Physical Therapist in Mason, OH
• Providers in Mason, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.