Kathlyn Hill Henderson, PT, CWS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1430 W. Baddour Parkway
Suite C
Lebanon, TN 37087

Phone

(615) 453-1422

Fax

(615) 453-1429

NPI assigned

Dec 15, 2011

Last updated

Dec 15, 2011By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1679842991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 W. BADDOUR PARKWAY",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "615-453-1422",
            "fax_number": "615-453-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W. BADDOUR PARKWAY",
            "address_2": "SUITE C",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "615-453-1422",
            "fax_number": "615-453-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KATHLYN",
        "middle_name": "HILL",
        "name_prefix": "Mrs.",
        "credential": "PT, CWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Management Group
• Healthfield of Tennessee, LLC (CenterWell Home Health)
• Healthy Bones Chiropractic, PC (Healthy Bones Chiropractic)
• Kelley Gale Heilman
• Christin Nicole Henderson, RBT
• Lawrence Levi Henderson, LCSW
• Magan Goff Henderson, RN, APN
• Hendrick Counseling Services, Inc
• Kimberley Stroud Hendrick, L.C.S.W.
• Fady Adel Henen

• Physical Therapist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.