Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891790291 Individual Practitioner Female Practitioner

Jennifer Jo Hackman , PT, ATC

Physical Therapist • Boonville, MO

Professional Overview & Biography Verified Profile Summary

Jennifer Hackman, PT, ATC is a registered healthcare professional specializing in Physical Therapist in Boonville, MO. Practice services are available at 1420 W ASHLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1420 W Ashley Rd

Boonville, MO 652332112

Telephone 6608826115
Fax 6608826120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Boonville, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Boonville, MO (4573 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License MO 2002024893

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
122566

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kelley Tate , PT

Physical Therapist

NPI 1003811258

Physical Therapist

Sammy Goedrich , OTR

Occupational Therapist

NPI 1124264775

Occupational Therapist Registered

Lindsey Scheets , ATC

Specialist/Technologist - Athletic Trainer

NPI 1134451313

Certified Athletic Trainer

Andrea Hoehn , MOT OTR, L

Occupational Therapist

NPI 1245340371

MOTOTR, L

John Tate , PTA

Physical Therapy Assistant

NPI 1477672814

Physical Therapist Assistant

Dr. Timothy Tracy , DPT

Physical Therapist

NPI 1598045536

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2007

Registered at 1420 W ASHLEY RD, BOONVILLE, MO 652332112 (Tel: 6608826115)

📍
Updated Business Mailing Address October 17, 2007

Registered at 1420 W ASHLEY RD, BOONVILLE, MO 652332112 (Tel: 6608826115)

👤
Provider Name / Credentials Updated October 17, 2007

Recorded as JENNIFER HACKMAN, P.T. ,A.T.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2007

Physical Therapist (License #2002024893 in MO)

🟢
Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891790291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2005
Last Update: October 17, 2007
Sole Proprietor: No

Mailing Address

1420 W Ashley Rd

Boonville, MO 652332112

Phone: 6608826115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.