Abby G Henry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013500 Issued in IL

Practice address

1440 W Walnut St
#2
Jacksonville, IL 62650-1143

Phone

(217) 245-1455

Fax

(217) 243-6903

NPI assigned

Jan 11, 2006

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

Other identifiers 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1043299803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W WALNUT ST",
            "address_2": "#2",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501143",
            "telephone_number": "217-245-1455",
            "fax_number": "217-243-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W WALNUT ST",
            "address_2": "#2",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501143",
            "telephone_number": "217-245-1455",
            "fax_number": "217-243-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ABBY",
        "middle_name": "G",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0005415281",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "216653",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "K51651",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurissa Heaton, APRN
• Elizabeth Renee Heideman, O.D.
• Kurt L. Heller, D.D.S.
• Brittany Ruth Helmich, LCPC
• Tracy Hendricks, M.D.
• Rosemary L. Herzberger, FNP-BC
• Tina Marie Hickey
• Highland Park CVS, L.L.C.
• James Edward Hinchen, M.D.
• Patricia Hobson

• Physical Therapist in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.