Organization Active NPI

Robert Henry, M.D., Inc

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
National Provider Identifier
1205063708
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ROBERT HENRY, M.D., INC
Practice address
110 Jensen CT
1-C
Thousand Oaks, CA 91360-7483
Phone
(805) 494-7740
NPI assigned
Jun 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Authorized official

Name
Robert E Henry, M.D.
Title
Owner
Phone
(805) 494-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X CA Primary

Addresses

Primary practice location

110 Jensen CT
1-C
Thousand Oaks, CA 91360-7483

Mailing address

100-7 Ranch Road
348
Thousand Oaks, CA 91362-6017
Phone (805) 494-7740

National Provider Directory

National Provider Directory

Locations

1125 Lindero Canyon Rd
#A8239
Westlake Village, CA 91362

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1205063708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100-7 RANCH ROAD",
            "address_2": "348",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626017",
            "telephone_number": "805-494-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JENSEN CT",
            "address_2": "1-C",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607483",
            "telephone_number": "805-494-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HENRY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-494-7740",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.