Active NPI
Audrey Jo Hensley
- Developmental Therapist
- Canton, IL
National Provider Identifier
1053688564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 165 Argonne Dr
Canton, IL 61520-1063 - Phone
- (309) 825-2190
- NPI assigned
- Nov 28, 2011
- Last updated
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | NU | Primary |
Addresses
Primary practice location
165 Argonne Dr
Canton, IL 61520-1063
Mailing address
165 Argonne Dr
Canton, IL 61520-1063
Phone (309) 825-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1053688564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ARGONNE DR",
"city": "CANTON",
"state": "IL",
"postal_code": "615201063",
"telephone_number": "309-825-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 ARGONNE DR",
"city": "CANTON",
"state": "IL",
"postal_code": "615201063",
"telephone_number": "309-825-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "AUDREY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, IL
- Hanes Physical Therapy, LTD.
- Adam Arthur Hanes, MPT
- Sandra Anne Haws, MS, RD, LDN
- Heartland of Canton Il LLC (Heartland Health Care Center - Canton)
- Crindy Nolee Hedges, RN, IBCLC
- Gary R Herberger, DDS
- Mary Barbara Hodal, D.C.
- Angela J Holthaus, CRNA
- Suzanne E Holthaus, MD
- Ashley Nicole Howard, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.