Jacqueline A Henderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033159 Issued in NY

Practice address

110 E 42ND St
Suite 1504
New York, NY 10017-5611

Phone

(212) 354-2622

Fax

(212) 354-2752

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1033366331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST",
            "address_2": "SUITE 1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175611",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 42ND ST",
            "address_2": "SUITE 1504",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175611",
            "telephone_number": "212-354-2622",
            "fax_number": "212-354-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce S. Henderson, LMSW
• Cassandra E Henderson, M.D.
• Christine Elizabeth Henderson, PA-C
• Dorothy Henderson, LCSW
• Felipa Messon Henderson, DDS
• Karlyn Henderson, RN
• Katherine O'Neal Henderson, L.AC
• Korey Andrew Henderson, MD
• Lacey Delaine Henderson, LCSW
• Lauren Henderson, MD

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.