Active NPI
Pamela Jo Henry, PTA
- Physical Therapy Assistant
- Miramar, FL
National Provider Identifier
1144591009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2286
- Practice address
- 1951 SW 172ND Ave
Suite 115
Miramar, FL 33029-5593 - Phone
- (954) 447-2426
- Fax
- (954) 447-2695
- NPI assigned
- Jan 24, 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 Therapy Assistant | 225200000X | 2286 | FL | Primary |
Addresses
Primary practice location
1951 SW 172ND Ave
Suite 115
Miramar, FL 33029-5593
Mailing address
1951 SW 172ND Ave
Suite 115
Miramar, FL 33029-5593
Phone (954) 447-2426
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2286 | FL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1144591009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE",
"address_2": "SUITE 115",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295593",
"telephone_number": "954-447-2426",
"fax_number": "954-447-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 SW 172ND AVE",
"address_2": "SUITE 115",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330295593",
"telephone_number": "954-447-2426",
"fax_number": "954-447-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "PAMELA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "2286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.