Individual provider Active NPI

Cheryl Hennigan

  • Occupational Therapist
  • Richboro, PA
National Provider Identifier
1508038662
Registry record updated Mar 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC001223L Issued in PA
Practice address
45 Twigkenham Dr
Richboro, PA 18954-1406
Phone
(215) 364-5515
Fax
(215) 364-5515
NPI assigned
Mar 29, 2008
Last updated
Mar 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC001223L PA Primary
Pediatric Occupational Therapist 225XP0200X OC001223L PA

Addresses

Primary practice location

45 Twigkenham Dr
Richboro, PA 18954-1406

Mailing address

45 Twigkenham Dr
Richboro, PA 18954-1406
Phone (215) 364-5515

Other identifiers 1

IdentifierTypeStateIssuer
1011082900001MedicaidPA

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
OC001223LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pediatric Therapy Associates Occupational Therapist Past 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, 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": "1206748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206748800000",
    "number": "1508038662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TWIGKENHAM DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541406",
            "telephone_number": "215-364-5515",
            "fax_number": "215-364-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TWIGKENHAM DR",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541406",
            "telephone_number": "215-364-5515",
            "fax_number": "215-364-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001223L",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC001223L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011082900001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2008; 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.