Jennifer H Henderson, O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2412 Issued in TN

Practice address

756 Ridge Lake Blvd
Suite 205
Memphis, TN 38120-9420

Phone

(901) 767-3667

Fax

(901) 767-3669

NPI assigned

Jul 31, 2006

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

Other names 1

• Miss Jennifer Halpin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Physioplus LLC

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1396750071
  NPD (past)
• Redden Total Therapy-South, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1013151109
  NPD (past)
• Redden Total Therapy, LLC

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1033286588
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528074440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD",
            "address_2": "SUITE 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209420",
            "telephone_number": "901-767-3667",
            "fax_number": "901-767-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 RIDGE LAKE BLVD",
            "address_2": "SUITE 205",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209420",
            "telephone_number": "901-767-3667",
            "fax_number": "901-767-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HALPIN",
            "prefix": "MISS",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carl Henderson
• Carlton Keith Henderson, LCSW
• Dejuna Latrice Henderson
• Ellena Henderson, MD
• Jenae Henderson, FNP-C
• Jerrika Olivia Henderson, DBH
• Joletta Kemp Henderson
• Kelsey Henderson, DO
• Kimberly Faith Henderson, NCC, LPC-MHSP (TEMP)
• Lauren Henderson, D.O.

• Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.