Healthcare Provider Details

I. General information

NPI: 1639466121
Provider Name (Legal Business Name): JENNIFER HEMPHILL PATEL PT, DPT, CMTPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HEMPHILL SPAIN PT, DPT

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 E BAY DR
LARGO FL
33771-2323
US

IV. Provider business mailing address

2130 E BAY DR
LARGO FL
33771-2323
US

V. Phone/Fax

Practice location:
  • Phone: 727-587-0582
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT010308
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT210673
License Number StateAK
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP030716T
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP048954T
License Number StateAZ
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT32717
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: