Active NPI
Margaret Jane Henson
- Physical Therapy Assistant
- Memphis, TN
National Provider Identifier
1225158850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1791
- Practice address
- 1111 Union Ave
Memphis, TN 38104-6646 - Phone
- (901) 529-4045
- Fax
- (901) 529-4096
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1791 | TN | Primary |
| Physical Therapy Assistant | 225200000X | 981 | AR |
Addresses
Primary practice location
1111 Union Ave
Memphis, TN 38104-6646
Mailing address
1111 Union Ave
Memphis, TN 38104-6646
Phone (901) 529-4045
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 |
|---|---|---|---|
| 1791 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225158850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046646",
"telephone_number": "901-529-4045",
"fax_number": "901-529-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381046646",
"telephone_number": "901-529-4045",
"fax_number": "901-529-4096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "MARGARET",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "1791",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.