Matthew Thomas Henry, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008256 Issued in GA

Practice address

3051 Watson Blvd
Warner Robins, GA 31093-8536

Phone

(478) 953-4563

Fax

(478) 953-4564

NPI assigned

Jul 11, 2005

Last updated

Aug 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Trinity Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Hazlehurst, GA
  • NPI 1184817462

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1285632596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E. OAK ST.",
            "city": "MC RAE",
            "state": "GA",
            "postal_code": "310551550",
            "telephone_number": "229-868-2174",
            "fax_number": "229-868-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938536",
            "telephone_number": "478-953-4563",
            "fax_number": "478-953-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720012670A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josh Heffernan
• Hello Life Counseling Collective Inc
• Michael A. Hellwege, M.D.
• Angel Helms
• Tarem Eric Hendricks, DMD
• Florence Michelle Henson, LPTA
• Caroline Ashley Newman Herndon, OTR/L
• Chailyn A Hicks
• Euniece Hicks
• Gerald Nichole Hicks, LPN

• Physical Therapist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.