Marilynn Henry, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6640A Issued in AZ

Practice address

86 W Salt Mine Rd
Camp Verde, AZ 86322-7013

Phone

(928) 567-5253

NPI assigned

Sep 18, 2014

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1154723310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W SALT MINE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227013",
            "telephone_number": "928-567-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W SALT MINE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227013",
            "telephone_number": "928-567-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MARILYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "6640A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel K Hansen, CNP
• Leila Hardy, PA-C
• Karin M. Hauenstein
• Haven of Camp Verde Alf, LLC
• Haven of Camp Verde, LLC
• Michael Thomas Hughes, DDS
• Jorge D Huston, O.D.
• Infinia at Camp Verde
• Inge'S Uniquely Warm Assisted Living LLC
• Richard Jee, RPH, MS

• All providers in Camp Verde, AZ
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.