Individual provider Active NPI

Amy M Henderson, CPTA

  • Physical Therapy Assistant
  • Salina, KS
National Provider Identifier
1427485218
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1400996 Issued in KS
Practice address
631 E Crawford St
Suite 220
Salina, KS 67401-5113
Phone
(785) 825-2323
Fax
(785) 825-2325
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1400996 KS Primary

Addresses

Primary practice location

631 E Crawford St
Suite 220
Salina, KS 67401-5113

Mailing address

631 E Crawford St
Suite 220
Salina, KS 67401-5113
Phone (785) 825-2323

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1400996KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwind Physical Therapy Inc. PastSince Mar 17, 2003 Accepting new patients

Organizations & group practices 1

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": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1427485218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E CRAWFORD ST",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015113",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E CRAWFORD ST",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015113",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "1400996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.