JACOB HENDERSON (NPI# 1891351649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891351649 |
| Entity Type | Individual |
| Full Name | JACOB HENDERSON |
| Credential | DPT |
| Practice Address |
2106 Executive Dr Hampton VA 23666-2402 |
| Mailing Address |
7121 Newport Ave Norfolk VA 23505-3924 |
| Practice Telephone | 7578386678 |
| Practice Fax Number | 7578388116 |
| Mailing Telephone | 5672498709 |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305212743 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482553 | Jacob Henderson | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2020-09-16 |
| 1528697596 | Jacob James Henderson | Counselor | 777 Murphy Rd, Medford, OR 97504-8425 | 2020-04-02 |
| 1598993628 | Jacob Henderson | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-06-26 |
| 1205960424 | Jacob Francis Henderson | Dentist | 11424 Sullivan Rd Bldg B Suite A, Baton Rouge, LA 70817 | 2007-03-16 |
| Street Address |
2106 EXECUTIVE DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23666-2402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770545196 | Wayne Macmasters | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2006-04-03 |
| 1053924233 | Eric Neil Dumas | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2020-08-26 |
| 1740732080 | Katie E. Sullivan | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2016-11-03 |
| 1447507306 | Jessica L. Massimino | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2012-08-10 |
| 1679704951 | Theresa A Carroll | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2009-08-04 |
| 1649401159 | Jessica S Morris | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2009-07-31 |
| 1871758797 | Jordana D Hoffman | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2008-07-21 |
| 1932233988 | Francis Family Practice | Family Medicine | 2106 Executive Dr, Hampton, VA 23666-2402 | 2007-03-14 |
| 1598835720 | Rhonda A. Hubberstey | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2006-11-08 |
| 1164433850 | Krista Robinson | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824022 | Melanin Excellence Medical Transportation Co LLC | Non-emergency Medical Transport (VAN) | 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 | 2019-04-30 |
| 1952880502 | Exquisite Counseling Services LLC | Counselor | 2703 Build America Drive, Hampton, VA 23666 | 2018-08-13 |
| 1063999811 | Speak From The Heart | Speech-Language Pathologist | 2 Abbott Dr, Hampton, VA 23666 | 2018-07-24 |
| 1245724632 | Drashti Khamar | Dentist | 2040 Coliseum Dr # A27, Hampton, VA 23666 | 2018-06-19 |
| 1750874772 | Dion J Roszina | Private Vehicle | 806 Charlton,dr, Hampton, VA 23666 | 2018-06-13 |
| 1205352481 | Crystal Lynn Harris | Counselor | 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 | 2017-08-18 |
| 1538693361 | Marquis A. Norton | Counselor | 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 | 2017-04-18 |
| 1194181966 | Key Elements Care, LLC | Case Management | 20 Research Dr Ste 600, Hampton, VA 23666 | 2016-01-11 |
| 1740665215 | Lauren-grey Gonzales Igel | Hearing Instrument Specialist | 1507 Hardy Cash Drive, Hampton, VA 23666 | 2015-07-27 |
| 1457758062 | Alexandra Levine | Acupuncturist | 2216 Executive Dr Ste A, Hampton, VA 23666 | 2014-11-25 |
| Find all providers in zip 23666 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841479326 | Joann Marie Brookspt | Physical Therapist | 495 Exeter Rd, Hampton, NH 03842-1000 | 2007-10-31 |
| 1912225525 | Kelly R Campbell | Physical Therapist | 901 Enterprise Pkwy, Suite 900, Hampton, VA 23666-6249 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122717 | Art of Motion Physical Therapy LLC | Physical Therapist | 161 Fort Evans Rd Ne Ste 103, Leesburg, VA 20176-3369 | 2020-10-24 |
| 1982242491 | Derek Roy Finn | Physical Therapist | 2865 Lynnhaven Dr Ste C3, Virginia Beach, VA 23451-1544 | 2019-12-16 |
| 1235773771 | Anne Wuhrer | Physical Therapist | 8001 Braddock Rd Ste 100, Springfield, VA 22151-2110 | 2019-10-28 |
| 1134779077 | Adams Performance Physical Therapy, Inc. | Physical Therapist | 3004 Impala Pl, Henrico, VA 23228-4206 | 2019-09-12 |
| 1710454475 | Performance Healthcare, P.C. | Physical Therapist | 3603 Brambleton Ave Ste A, Roanoke, VA 24018-3600 | 2018-10-30 |
| 1720563216 | Aoife Bourke | Physical Therapist | 12203 Leims Dr, Quantico, VA 22134-2088 | 2018-10-01 |
| 1144701954 | Taylor Blattenberger | Physical Therapist | 24585 Stone Carver Dr # 275, Aldie, VA 20105-2798 | 2018-08-29 |
| 1477034577 | Erica Wharton Osimani | Physical Therapist | 1340 Gaskins Rd, Henrico, VA 23238-4919 | 2018-08-27 |
| 1124514351 | Matthew James Hillsinger | Physical Therapist | 410 S Maple Ave # 100, Falls Church, VA 22046-4246 | 2018-07-11 |
| 1285127365 | Cody Michael Schellhaas | Physical Therapist | 7400 Beaufont Springs Dr Ste 520, North Chesterfield, VA 23225-5514 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.