JENNIFER LYNN HARDESTY (PT) – Physical Therapist, NPI 1417113564

JENNIFER LYNN HARDESTY (PT) is a healthcare provider. based in Big rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501009794 (MI). The NPI Number for JENNIFER LYNN HARDESTY (PT) is 1417113564

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LYNN HARDESTY (PT)
NPI
1417113564
Phone
(231) 796-4419
Address
1268 PERRY AVE
Enumeration Date
29 July 2008
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9893869170
Graduation Year
1998 (28 years ago)
PAC ID
9436331493
Group Practice PAC ID
7618074220
Professional Enrollment ID
I20110311000430
Address ID
MI486171145CL107XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for JENNIFER LYNN HARDESTY (PT)

  • 1268 PERRY AVE

    BIG RAPIDS, MI 493072115

    Phone: (231) 796-4419

    Fax: (231) 592-5139

    Type: Mailing

  • 745, Water Tower Road, Big Rapids, Mecosta County, Michigan, 49307, United States

    BIG RAPIDS, MI 493072135

    Phone: (231) 592-1061

    Fax: (231) 592-5139

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110311000430IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49307)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618074220View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-WI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What identifier follows JENNIFER LYNN HARDESTY (PT) across health systems?
The NPI 1417113564 uniquely identifies JENNIFER LYNN HARDESTY (PT) in U.S. healthcare data.
Should I treat JENNIFER LYNN HARDESTY (PT) as an active provider?
Patients and plans typically see JENNIFER LYNN HARDESTY (PT) as active in the national extract.
What type of care does JENNIFER LYNN HARDESTY (PT) provide?
JENNIFER LYNN HARDESTY (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit JENNIFER LYNN HARDESTY (PT) in Big Rapids, Michigan?
For routing, start with Big Rapids, Michigan for JENNIFER LYNN HARDESTY (PT), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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