Individual provider Active NPI

Karen L Henderson, MT

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1497638530
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20465 Issued in NC
Practice address
143 Skateway Dr
Fayetteville, NC 28304-2640
Phone
(910) 484-9922
NPI assigned
Jul 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 20465 NC Primary

Addresses

Primary practice location

143 Skateway Dr
Fayetteville, NC 28304-2640

Mailing address

3035 Boone Trail Ext Ste J
Fayetteville, NC 28304-3860
Phone (910) 484-9922

Other practice location 1

1534 Purdue Dr
Fayetteville, NC 28303-5416
Phone (910) 484-9922

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
20465NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reds of Fayetteville, LLC Massage Therapist PastSince Mar 1, 2020 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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1497638530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE J",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-484-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SKATEWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042640",
            "telephone_number": "910-484-9922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1534 Purdue Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035416",
            "country_code": "US",
            "telephone_number": "910-484-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KAREN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "20465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.