Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Hannon

Individual provider Physical Therapist · NPI 1962815233

Jennifer Hannon is a Physical Therapist in Waxhaw, North Carolina. Licensed in Colorado, North Carolina, New York and Texas. Registered with an NPI since 2014.

Licensed in
CO, NC, NY, TX
In the registry since
2014
Specialties on file
4

Practice location Address checks out

3614 Providence Rd S Ste 100
Waxhaw, NC 28173-6310
Phone: (704) 384-8640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14634 (NC)
Physical Therapist Taxonomy 225100000X · Licence 0012454 (CO)
Physical Therapist Taxonomy 225100000X · Licence 1240660 (TX)
Physical Therapist Taxonomy 225100000X · Licence 035573 (NY)

Record details

NPI number1962815233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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