Stacy Helen Henderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012110L Issued in PA

Practice address

1597 Washington Pike
Suite A15
Bridgeville, PA 15017-2894

Phone

(412) 278-1221

Fax

(412) 278-0201

NPI assigned

Sep 22, 2011

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

Practice roles

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.

• Fritz Physical Therapy and Sports Medicine, PLLC

  • Orthopedic Physical Therapist
  • Carnegie, PA
  • NPI 1992905772
  NPD (past)

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1821371121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A15",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-278-1221",
            "fax_number": "412-278-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE",
            "address_2": "SUITE A15",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172894",
            "telephone_number": "412-278-1221",
            "fax_number": "412-278-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "STACY",
        "middle_name": "HELEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Anne Harter, PNP
• Lauren Hartz, MS, LPC
• Emily Heim, MA, LPC
• Michelle Jackson Heins, B.A.
• Margaret Henderson
• Matthew S Henzler, PTA
• Luke Herman
• Madison Lynn-Mae Herrick
• Nicole Hilton, PT
• James A Hoge

• Physical Therapist in Bridgeville, PA
• Providers in Bridgeville, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.