Kristen E Henretta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605435 Issued in VA

Practice address

2300 Cedarfield Pkwy
Henrico, VA 23233-1936

Phone

(804) 474-8800

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By the provider in NPPES

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1447029137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 RIMSWELL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123299",
            "telephone_number": "804-513-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CEDARFIELD PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331936",
            "telephone_number": "804-474-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRETTA",
        "first_name": "KRISTEN",
        "middle_name": "E",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lorraine Hedblom, RDH, MFT
• James Held
• Abigail E Heller
• Lyndsey Henderson
• Kendra Anne Hendley, PT
• Henrico RX LLC (Henrico Pharmacy)
• Henrico VA Opco LLC
• Aisha Gray Henry
• Giaon R Henry, CPRS-R,
• Kelly Abbott Henshaw

• Physical Therapy Assistant in Henrico, VA
• Providers in Henrico, VA by specialty
• Physical Therapy Assistant in Virginia

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