Individual provider Active NPI

Jared K Henson, DPT

  • Physical Therapist
  • Gadsden, AL
National Provider Identifier
1265818280
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7671 Issued in AL
Practice address
310 S 5TH St
Gadsden, AL 35901-4224
Phone
(256) 549-6387
Fax
(256) 549-6391
NPI assigned
Jul 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH7671 AL Primary

Addresses

Primary practice location

310 S 5TH St
Gadsden, AL 35901-4224

Mailing address

2531 Rocky Ridge Rd
Suite 101
Vestavia, AL 35243-4445
Phone (205) 978-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150922001889 AL Practitioner - Physical Therapist in Private Practice 1951618008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Drayer Physical Therapy-Alabama, LLCGroup PAC ID 5395970560, 70 clinicians

Practice addresses (Care Compare)

112 Spring Branch Dr
Oxford, AL 36203-2360
Phone (256) 251-5320

2215 Decatur Hwy
Suite 125
Gardendale, AL 35071-2385
Phone (205) 285-8790

4601 Whitesburg SE Dr
Suite 102
Huntsville, AL 35802-1677
Phone (256) 883-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH7671ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Jul 30, 2015 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Jul 30, 2015 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients

Locations

310 S 5th St
Gadsden, AL 35901
Phone (205) 547-8634

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

3102 Rainbow Dr
Ste 200
Rainbow City, AL 35906
Phone (256) 543-0717

2531 Rocky Ridge Rd
Ste 101
Vestavia, AL 35243
Phone (205) 453-9350

Organizations & group practices 4

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1265818280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ROCKY RIDGE RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434445",
            "telephone_number": "205-978-7376",
            "fax_number": "205-978-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014224",
            "telephone_number": "256-549-6387",
            "fax_number": "256-549-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JARED",
        "middle_name": "K",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.