Active NPI
Rachael Joy Henry, P.T., D.P.T.
- Physical Therapist
- Healdsburg, CA
National Provider Identifier
1124371976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291057
- Practice address
- 441 March Ave # B
Healdsburg, CA 95448-3363 - Phone
- (707) 433-5219
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291057 | CA | Primary |
Addresses
Primary practice location
441 March Ave # B
Healdsburg, CA 95448-3363
Mailing address
441 March Ave # B
Healdsburg, CA 95448-3363
Phone (707) 433-5219
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291057 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1124371976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 MARCH AVE # B",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483363",
"telephone_number": "707-433-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 MARCH AVE # B",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483363",
"telephone_number": "707-433-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "RACHAEL",
"middle_name": "JOY",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.