Carolyn J Henn, LMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

025795 Issued in NY

Practice address

5900 N Burdick St Ste 201
East Syracuse, NY 13057-9463

Phone

(315) 552-4897

Fax

(877) 492-3320

NPI assigned

May 8, 2012

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1417216771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BETSINGER RD",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611204",
            "telephone_number": "315-552-4897",
            "fax_number": "877-492-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST STE 201",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579463",
            "telephone_number": "315-552-4897",
            "fax_number": "877-492-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENN",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittaney Hegard, NP
• Erika M Hegland, DO
• Hematology Oncology Associates of Cny, PC
• Hematology Oncology Associates of Cny,PC
• Hematology-Oncology Associates of Cny, PC
• Caitlyn Hennessey, DPT
• Sara Hennessey, OT
• Cheryl Elizabeth Hernandez, LMSW
• Meghan Elizabeth Heslop, CCC-SLP
• Morgan Hey

• Massage Therapist in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.