Andrea Henneberry

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6231 Issued in NC

Practice address

9706 Stoney Glen Dr Apt L
Mint Hill, NC 28227

Phone

(814) 823-3257

NPI assigned

Jan 10, 2017

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1114463429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DUNHAM AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012528",
            "telephone_number": "716-661-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9706 STONEY GLEN DR APT L",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "28227",
            "telephone_number": "814-823-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Jones and Gifford Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012828",
            "country_code": "US",
            "telephone_number": "716-661-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNEBERRY",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "6231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark John Heitbrink, MD
• Helmendach Management Services
• Kelley Graham Helmendach, DC
• Katelyn Marie Henderson, D.M.D.
• Jenna Hendrix, MA, BCBA
• Mary Leanora Henry, MAEDU
• Laura Anne Herman, PSY.D.
• Carol Hernandez
• Elizabeth Magri Hertzfeld, M.A.,CCC-SLP
• Michele Trang Thi Ho, M.D.

• Physical Therapy Assistant in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.