Elizabeth M Henry, PTA

Key facts

NPI

1013706027

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

4253 (AR)

Practice address

12682 Highway 378
Mansfield, AR 72944-9650

Phone

(870) 952-9305

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2025.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1013706027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12682 HIGHWAY 378",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729449650",
            "telephone_number": "870-952-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12682 HIGHWAY 378",
            "city": "MANSFIELD",
            "state": "AR",
            "postal_code": "729449650",
            "telephone_number": "870-952-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3304 S M St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729032903",
            "country_code": "US",
            "telephone_number": "479-785-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Mansfield, AR · Physical Therapy Assistant in Arkansas