Active NPI
Meghan Christine Henry
- Physical Therapy Assistant
- Woodland Park, NJ
National Provider Identifier
1265289946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 40QB00413600
- Practice address
- 279 Browertown Rd Ste 108
Woodland Park, NJ 07424-2663 - Phone
- (973) 420-0030
- NPI assigned
- May 1, 2024
- Last updated
- May 1, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 40QB00413600 | NJ | Primary |
Addresses
Primary practice location
279 Browertown Rd Ste 108
Woodland Park, NJ 07424-2663
Mailing address
11106 Crystal Ridge Dr
Watchung, NJ 07069-6493
Phone (908) 910-9796
Other practice location 1
881 Allwood Rd Ste 1
Clifton, NJ 07012-1900
Phone (973) 246-7189
Other names 1
- Meghan Christine Lill
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 |
|---|---|---|---|
| 40QB00413600 | NJ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutix LLC | Current | Accepting new patients |
Locations
279 Browertown Rd
Ste 108
Woodland Park, NJ 07424
Phone (973) 420-0030
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1265289946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11106 CRYSTAL RIDGE DR",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070696493",
"telephone_number": "908-910-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 BROWERTOWN RD STE 108",
"city": "WOODLAND PARK",
"state": "NJ",
"postal_code": "074242663",
"telephone_number": "973-420-0030"
}
],
"practiceLocations": [
{
"address_1": "881 Allwood Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070121900",
"country_code": "US",
"telephone_number": "973-246-7189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "MEGHAN",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NJ",
"license": "40QB00413600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGHAN",
"last_name": "LILL",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Woodland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.