Individual provider Active NPI

Henrison Seno

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1083192447
Registry record updated Jul 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
294908 Issued in CA
Practice address
3414 Holyoke Dr
Los Angeles, CA 90065-2740
Phone
(323) 337-4807
NPI assigned
Jul 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294908 CA Primary

Addresses

Primary practice location

3414 Holyoke Dr
Los Angeles, CA 90065-2740

Mailing address

3414 Holyoke Dr
Los Angeles, CA 90065-2740
Phone (323) 337-4807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001070 CA Practitioner - Physical Therapist in Private Practice 9830514793 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294908CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc Physical Therapist CurrentSince Aug 4, 2020 Accepting new patients
Albert Babanian, Inc. Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

Locations

3600 N Verdugo Rd
Ste 300
Glendale, CA 91208
Phone (818) 236-4833

100 E Thousand Oaks Blvd
Ste 237
Thousand Oaks, CA 91360
Phone (818) 926-9057

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532822400000",
    "number": "1083192447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 HOLYOKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652740",
            "telephone_number": "323-337-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 HOLYOKE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652740",
            "telephone_number": "323-337-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENO",
        "first_name": "HENRISON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-29",
        "last_updated": "2018-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.