Active NPI
Ravyn Henson
- Physical Therapy Assistant
- Little Rock, AR
National Provider Identifier
1710859079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA5084
- Practice address
- 1909 Hinson Loop Rd
Little Rock, AR 72212-3903 - Phone
- (501) 301-4530
- Fax
- (501) 251-1165
- NPI assigned
- Sep 18, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA5084 | AR | Primary |
Addresses
Primary practice location
1909 Hinson Loop Rd
Little Rock, AR 72212-3903
Mailing address
3010 Alderwood Dr
Conway, AR 72032-8103
Phone (501) 301-4530
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 |
|---|---|---|---|
| PTA5084 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1710859079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 ALDERWOOD DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720328103",
"telephone_number": "501-301-4530",
"fax_number": "501-251-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 HINSON LOOP RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722123903",
"telephone_number": "501-301-4530",
"fax_number": "501-251-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "RAVYN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-09-18",
"last_updated": "2025-10-24",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA5084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.