Individual provider Active NPI

Lisa Stevens Henry, PT

  • Physical Therapist
  • Keene, NH
National Provider Identifier
1376622498
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2906 Issued in NH
Practice address
91 Maple Ave
Keene, NH 03431-1629
Phone
(603) 358-3384
Fax
(603) 358-6485
NPI assigned
Nov 2, 2006
Last updated
Feb 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

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 2906 NH Primary

Addresses

Primary practice location

91 Maple Ave
Keene, NH 03431-1629

Mailing address

91 Maple Ave
Keene, NH 03431-1629
Phone (603) 358-3384

Other identifiers 1

IdentifierTypeStateIssuer
30392881MedicaidNH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2906NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedarcrest Center for Children With Disabilities Past Accepting new patients
Cedarcrest, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1376622498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-358-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAPLE AVE",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311629",
            "telephone_number": "603-358-3384",
            "fax_number": "603-358-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LISA",
        "middle_name": "STEVENS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30392881",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; 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.