Megan Marie Henley, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2074503 Issued in TX

Practice address

12042 Bittern Holw
Austin, TX 78758

Phone

(512) 730-2117

NPI assigned

Mar 16, 2011

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1669771606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 BITTERN HOLW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583350",
            "telephone_number": "512-226-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 BITTERN HOLW",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78758",
            "telephone_number": "512-730-2117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Eldridge Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723359516",
            "country_code": "US",
            "telephone_number": "870-633-3278",
            "fax_number": "870-633-3285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2074503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Hendricks, LPC-ASSOCIATE
• Elijah Mason Hendrix, PT, DPT
• Jay Anthony Hendrix, M.D.
• Ryan Heneisen, M.A CCC-SLP
• Kelly Henkener, LPC-ASSOCIATE
• Suzanne Sale Henley, LCDC
• Vanessa Raelin Henley
• Lauren Michelle Hennecke, FNP-C
• Susan Chapman Hennigan, PT
• Brittany Hennin, PA-C

• Physical Therapy Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.