MRS. JENNIFER JO HACKMAN (NPI# 1891790291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891790291 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER JO HACKMAN |
| Credential | P.T. ,A.T.C. |
| Practice Address |
1420 W Ashley Rd Boonville MO 65233-2112 |
| Practice Telephone | 6608826115 |
| Practice Fax Number | 6608826120 |
| Mailing Telephone | 6608826115 |
| Mailing Fax Number | 6608826120 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2002024893 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 122566 | 01 |
| Street Address |
1420 W ASHLEY RD |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045536 | Timothy R Tracy | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2011-08-22 |
| 1134451313 | Lindsey Scheets | Specialist/Technologist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2010-02-12 |
| 1124264775 | Sammy H Goedrich | Occupational Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2009-01-05 |
| 1477672814 | John Lee Tate | Physical Therapy Assistant | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2007-03-28 |
| 1609930593 | Excel Physical Therapy & Sports Medicine Clinic | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2006-12-21 |
| 1245340371 | Andrea Theresa Hoehn | Occupational Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2006-08-30 |
| 1003811258 | Kelley Nicole Chandler | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376682955 | Reorganized School District No 1 | Physical Therapist | 736 Main St, Boonville, MO 65233-1656 | 2007-02-06 |
| 1033170725 | Shane Davis | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2006-03-31 |
| 1679812747 | Shane Davis Physical Therapy PC | Physical Therapist | 13040 State Route 12, Boonville, NY 13309-4942 | 2013-02-08 |
| 1598045536 | Timothy R Tracy | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2011-08-22 |
| 1053550210 | Cathy Lynne Gearhart | Physical Therapist | 305 E North St, Boonville, IN 47601-1357 | 2009-02-11 |
| 1629293634 | Amy Christina Yunker | Physical Therapist | 1579 S Folsomville Rd, Boonville, IN 47601-9465 | 2007-04-16 |
| 1609930593 | Excel Physical Therapy & Sports Medicine Clinic | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2006-12-21 |
| 1003811258 | Kelley Nicole Chandler | Physical Therapist | 1420 W Ashley Rd, Boonville, MO 65233-2112 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871393 | Catherine Genthon | Physical Therapist | 804 Stone Canyon Dr, Manchester, MO 63021-7154 | 2020-11-07 |
| 1356942429 | Rww Outpatient Rehab Services, LLC | Physical Therapist | 1950 Diamond Pkwy Ste 202, North Kansas City, MO 64116-4321 | 2020-11-05 |
| 1477153062 | Physical Therapy Direct, LLC | Physical Therapist | 25 Terre Verte Ct, Saint Charles, MO 63304-1217 | 2020-11-01 |
| 1114527108 | Kelly Hodes | Physical Therapist | 637 Dunn Rd Ste 140, Hazelwood, MO 63042-1755 | 2020-10-28 |
| 1902406200 | Alyssa Leonard | Physical Therapist | 7490 S Lavender Dr, Columbia, MO 65203-4538 | 2020-10-27 |
| 1003415928 | Kaylynn Jo Hendrix | Physical Therapist | 1110 S 24th St, Lexington, MO 64067-2318 | 2020-10-21 |
| 1508465626 | Candice Mccoy | Physical Therapist | 312 E Young Ave, Warrensburg, MO 64093-1258 | 2020-10-20 |
| 1700484383 | Ryan Luis Adkins | Physical Therapist | 4444 Forest Park Ave Unit 1210, Saint Louis, MO 63108-2212 | 2020-10-15 |
| 1952909756 | Jennifer Banks | Physical Therapist | 219 W 2nd St, Joplin, MO 64801-2507 | 2020-10-14 |
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 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.