Thomas O Henley

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000000482 Issued in TN

Legal business name

THOMAS O HENLEY

Doing business as

Henley Medical

Practice address

1090 McCallie Avenue
Chattanooga, TN 37404

Phone

(423) 698-4200

Fax

(423) 629-8810

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Ave M Henley

Title

Cfo

Phone

(423) 698-4200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Henley Medical Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1689763468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 MCCALLIE AVENUE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-4200",
            "fax_number": "423-629-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MCCALLIE AVENUE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37404",
            "telephone_number": "423-698-4200",
            "fax_number": "423-629-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS O HENLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "AVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-698-4200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00528316A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE BLUECARE",
            "identifier": "0082678",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "0082678",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henley Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Edward Therrien, PT, DPT
• Erin Smith Thibault, MD
• Thomas C. Rumph
• Thomas E. Davis, MD, PLLC
• Thomas E. Hayes, MD
• Thomas W Brown III MD PC
• Amber L. Thomas
• Arnisha Latrice Thomas
• Celena Kurby Thomas
• Charles Andrew Thomas, DDS

• Durable Medical Equipment & Medical Supplies in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.