Elsie Allen Hennig, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001763 Issued in VA

Practice address

10701 Main St
Fairfax, VA 22030-6904

Phone

(703) 273-7830

NPI assigned

Mar 14, 2012

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

Other names 1

• Blynken Hennig Other name

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1851666465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 17TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222072308",
            "telephone_number": "703-522-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306904",
            "telephone_number": "703-273-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNIG",
        "first_name": "ELSIE",
        "middle_name": "ALLEN",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLYNKEN",
            "last_name": "HENNIG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlyn Sarah Henderson
• Derek C. Henderson
• Nichole Yvonne Henderson
• Michelle Hendrickson, PH.D.
• Esther Henebeng, MD
• Jerly Henriquez, LPCR
• Henry Moyle M.D., PHD, PC
• Christina E Henry
• Margaret Ann Henry, AUDIOLOGIST
• Mequeda C Henry

• Physical Therapy Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.