Ericka Henderson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008202 Issued in IL

Practice address

1111 Ontario St
Oak Park, IL 60302-1939

Phone

(708) 934-7149

NPI assigned

Mar 3, 2022

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": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1679220347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WASHINGTON BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ONTARIO ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021939",
            "telephone_number": "708-934-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ERICKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hejna & Selkirk Psychological Services LLC
• Caroline Heller, LCPC
• Megan Elise Helms, MD
• Sheila Rae Hemker, M.S.W., LCSW
• Christin Hemmens, P.T.
• Whitney Adrienne Henderson, FNP-BC
• Austin Henke
• Vincent James Henneburg
• Lauren Gail Henry, LCPC
• Evan Henschel, MSW, LSW

• Physical Therapy Assistant in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.