Active NPI
Sarah Marie Henderson, MS
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1649796681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027003
- Practice address
- 1225 Morris Park Ave.
1St Floor RM 1B27
Bronx, NY 10461 - Phone
- (718) 839-7128
- NPI assigned
- Aug 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 027003 | NY | Primary |
Addresses
Primary practice location
1225 Morris Park Ave.
1St Floor RM 1B27
Bronx, NY 10461
Mailing address
1225 Morris Park Ave.
1St Floor RM 1B27
Bronx, NY 10461
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027003 | Other | NY | NEW YORK STATE LICENSE |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027003 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1649796681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE.",
"address_2": "1ST FLOOR RM 1B27",
"city": "BRONX",
"state": "NY",
"postal_code": "10461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 MORRIS PARK AVE.",
"address_2": "1ST FLOOR RM 1B27",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-839-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "SARAH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE LICENSE",
"identifier": "027003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.