Active NPI
C Barbara Henry, PT
- Physical Therapist
- Grand Prairie, TX
National Provider Identifier
1235269150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1131969
- Practice address
- 1601 W Marshall Dr
Grand Prairie, TX 75051-2811 - Phone
- (972) 946-4400
- NPI assigned
- Mar 7, 2007
- Last updated
- Mar 4, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1131969 | TX | Primary |
| Physical Therapist | 225100000X | PT11045 | CA |
Addresses
Primary practice location
1601 W Marshall Dr
Grand Prairie, TX 75051-2811
Mailing address
PO Box 201546
Arlington, TX 76006-1546
Phone (817) 695-6666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T0833 | Other | TX | BLUE CROSS BLUE SHIELD TX |
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 |
|---|---|---|---|
| PT11045 | CA | MD | Physical Therapist |
| 1131969 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsite Industrial Therapy Systems, LLC | Physical Therapist | Past | Accepting new patients |
| Onsite Industrial Therapy Systems, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Grand Prairie, TX
- NPI 1164556486
-
- Physical Therapist
- Dallas, TX
- NPI 1518218726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1235269150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201546",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760061546",
"telephone_number": "817-695-6666",
"fax_number": "817-695-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W MARSHALL DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750512811",
"telephone_number": "972-946-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "C",
"middle_name": "BARBARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1131969",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT11045",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "8T0833",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.