Shana Henderson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4845 Issued in AR

Practice address

1 Riverfront PL Ste 615
North Little Rock, AR 72114-5650

Phone

(501) 725-0379

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1356123376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W PINE ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716711805",
            "telephone_number": "870-820-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERFRONT PL STE 615",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145650",
            "telephone_number": "501-725-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Lynn Hemphill, LCSW
• Ashley Marie Henderson, PTA
• Jacqueline Henderson, COTA/L
• Kathy Lynn Henderson, M.D.
• Madison Necole Henderson
• Jennifer Lee Hendon, CCC-SLP
• Caitlyn Beth Hendrickson, LCSW
• Racq'Uelli Henry
• Richard York Henry, MD
• Roberta Elaine Henry, APRN-CNP

• Physical Therapy Assistant in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.