Active NPI
Heather Lea Henley, P.T.
- Physical Therapist
- Rainbow City, AL
National Provider Identifier
1881752087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH4511
- Practice address
- 3102 Rainbow Dr
Rainbow City, AL 35906-5804 - Phone
- (256) 413-7422
- Fax
- (256) 442-8106
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 Therapist | 225100000X | PTH4511 | AL | Primary |
Addresses
Primary practice location
3102 Rainbow Dr
Rainbow City, AL 35906-5804
Mailing address
201 Greensport Rd
Ashville, AL 35953-5622
Phone (205) 594-5592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515-28489 | Other | AL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| PTH4511 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881752087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 GREENSPORT RD",
"city": "ASHVILLE",
"state": "AL",
"postal_code": "359535622",
"telephone_number": "205-594-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 RAINBOW DR",
"city": "RAINBOW CITY",
"state": "AL",
"postal_code": "359065804",
"telephone_number": "256-413-7422",
"fax_number": "256-442-8106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENLEY",
"first_name": "HEATHER",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH4511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515-28489",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rainbow City, AL
- Brant Daniel Haynie, D.M.D
- Healing Corner, LLC (Tekeisha Goggins Sole Mbr)
- Healing Harvest Counseling Services, LLC
- Healing Presence Home Care and Sitting Services LLC
- Croy Larnell Heath
- Benjamin C Hester, MD
- Jordan Holder, CRNP
- Intrinsically Anchored Therapy
- Isbell Dental Blue PC
- April Williams Jackson, LPTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.