Active NPI
Jodi Henderson
- Physical Therapy Assistant
- Butte, MT
National Provider Identifier
1215209143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1565
- Practice address
- 3131 Amherst Ave
Butte, MT 59701-4653 - Phone
- (406) 494-7035
- NPI assigned
- Feb 8, 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 | 1565 | MT | Primary |
Addresses
Primary practice location
3131 Amherst Ave
Butte, MT 59701-4653
Mailing address
3131 Amherst Ave
Butte, MT 59701-4653
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 |
|---|---|---|---|
| 1565 | MT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CNH Acquisitions Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1215209143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 AMHERST AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 AMHERST AVE",
"city": "BUTTE",
"state": "MT",
"postal_code": "597014653",
"telephone_number": "406-494-7035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JODI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MT",
"license": "1565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
- Health Link Physical Therapy
- Health Source of Butte Inc
- Christopher Joseph Heard, ATC
- Hematology Oncology Centers of the Northern Rockies PC (Frontier Cancer Center and Blood Institute)
- Tasha Violet Henck
- Caitlin Hendrick
- Ronald Hendrickson, LAC
- Amanda Hennessey
- Sheena Mickael Hensley
- James P. Herzog, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.