Alicia Henderson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT01392400 Issued in NJ

Practice address

10E Community PL
Warren, NJ 07059-5783

Phone

(908) 389-6540

NPI assigned

Feb 12, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1841054749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10E COMMUNITY PL",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595783",
            "telephone_number": "732-669-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10E COMMUNITY PL",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595783",
            "telephone_number": "908-389-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ALICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01392400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Frances Hartman, PH.D.
• Steven Arthur Hartman, PH.D.
• Robert Hassimi, DMD
• Healthstat Inc.
• Kathleen A Heffernan, MD
• Isabel Hendrickson, OTD
• Herawati T Kandou DDS PA
• Michelle Phi Hoang, M.D.
• Jessica Hoffmann, PT, DPT
• Sandra Maria Holbrook, PT

• Massage Therapist in Warren, NJ
• Providers in Warren, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.