Active NPI
Timothy J Henry
- Rehabilitation Practitioner
- Los Angeles, CA
National Provider Identifier
1891065801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- PT28421
- Practice address
- 8836 S Vermont Ave
Los Angeles, CA 90044-4832 - Phone
- (323) 751-3026
- NPI assigned
- Jan 6, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | PT28421 | CA | Primary |
Addresses
Primary practice location
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Mailing address
8836 S Vermont Ave
Los Angeles, CA 90044-4832
Phone (323) 751-3026
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 |
|---|---|---|---|
| PT28421 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1891065801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8836 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444832",
"telephone_number": "323-751-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8836 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900444832",
"telephone_number": "323-751-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "TIMOTHY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "PT28421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.