Active NPI
Jamie Lee Henken, PT, DPT
- Physical Therapist
- Asheville, NC
National Provider Identifier
1679025316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18020
- Practice address
- 856 Sweeten Creek Rd Ste F
Asheville, NC 28803-1548 - Phone
- (828) 684-7337
- NPI assigned
- Oct 28, 2016
- Last updated
- Sep 7, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 61841 | OR | |
| Physical Therapist | 225100000X | P18020 | NC | Primary |
| Pediatric Physical Therapist | 2251P0200X | P18020 | NC |
Addresses
Primary practice location
856 Sweeten Creek Rd Ste F
Asheville, NC 28803-1548
Mailing address
504 S Oconeechee Ave
Black Mountain, NC 28711-2841
Phone (321) 890-5940
Other practice location 1
9 W Summit Ave
Asheville, NC 28803
Phone (828) 670-8056
Other practice location 2
75 LeRoy George Dr
Clyde, NC 28721
Phone (828) 452-8071
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
| License | State | Type | Specialty |
|---|---|---|---|
| P18020 | NC | MD | Physical Therapist |
| 61841 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Specialists, Inc. | Physical 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.
-
dba Carolina Pediatric Therapy
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1679025316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S OCONEECHEE AVE",
"city": "BLACK MOUNTAIN",
"state": "NC",
"postal_code": "287112841",
"telephone_number": "321-890-5940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 SWEETEN CREEK RD STE F",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031548",
"telephone_number": "828-684-7337"
}
],
"practiceLocations": [
{
"address_1": "9 W Summit Ave",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "28803",
"country_code": "US",
"telephone_number": "828-670-8056",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 LeRoy George Dr",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "28721",
"country_code": "US",
"telephone_number": "828-452-8071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENKEN",
"first_name": "JAMIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61841",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18020",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "P18020",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.