Provider Demographics
NPI:1639466121
Name:PATEL, JENNIFER HEMPHILL (PT, DPT, CMTPT)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:HEMPHILL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PT, DPT, CMTPT
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:HEMPHILL
Other - Last Name:SPAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 5105
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5100
Mailing Address - Country:US
Mailing Address - Phone:252-726-1802
Mailing Address - Fax:
Practice Address - Street 1:534 N 35TH ST STE D
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3184
Practice Address - Country:US
Practice Address - Phone:252-726-1802
Practice Address - Fax:252-726-1805
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT010308225100000X
FLPT32717225100000X
AKPT210673225100000X
NCCP030716T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist