Jennifer Pendergrass

Physical Therapy Assistant · Springfield, MO

Individual Active NPI

NPI number 1083166730

Practice location

2800 S Fort Ave
Springfield, MO 65807-3480
Phone
(417) 882-0035

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NPI record

NPI
1083166730
Entity type
Individual (Type 1)
Enumeration date
October 28, 2016
Last updated
October 28, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2014024570 MO

About Jennifer Pendergrass

Jennifer Pendergrass is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2800 S Fort Ave, Springfield, MO 65807-3480. The NPI number 1083166730 was assigned on October 28, 2016 and the record was last updated on October 28, 2016.

Jennifer Pendergrass lists a license in the registry: #2014024570 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Pendergrass?

The NPI number is 1083166730.

What is the phone number of Jennifer Pendergrass?

The phone number listed for the practice location is (417) 882-0035.

Where is Jennifer Pendergrass located?

2800 S Fort Ave, Springfield, MO 65807-3480.

What is the taxonomy code for Jennifer Pendergrass?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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