Individual provider Active NPI

Maryanne Henderson

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1679571699
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS007476L Issued in PA
Practice address
1405 Shady Ave
Suite G-103 Building D
Pittsburgh, PA 15217-1350
Phone
(412) 420-2270
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS007476L PA Primary

Addresses

Primary practice location

1405 Shady Ave
Suite G-103 Building D
Pittsburgh, PA 15217-1350

Mailing address

1405 Shady Ave
Suite G-103 Building D
Pittsburgh, PA 15217-1350

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryanne.j.henderson@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070816000112 PA Practitioner - Physical Medicine and Rehabilitation 6709978091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS007476LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 15, 2014 Accepting new patients
University of Pittsburgh Physicians Physical Medicine & Rehabilitation CurrentSince Sep 15, 2014 Accepting new patients
Medical Rehabilitation, Inc PastSince May 11, 2025 Accepting new patients
Physical Medicine & Rehabilitation Experts Physical Medicine & Rehabilitation Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

3471 5th Ave
Ste 1103
Pittsburgh, PA 15213
Phone (412) 648-6848

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

1405 Shady Ave
Squirrel Hill, PA 15217
Phone (412) 420-2400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1679571699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SHADY AVE",
            "address_2": "SUITE G-103 BUILDING D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SHADY AVE",
            "address_2": "SUITE G-103 BUILDING D",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171350",
            "telephone_number": "412-420-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MARYANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS007476L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryanne.j.henderson@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.