Active NPI
Mary Catherine Henderson, P.T.
- Physical Therapist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28234
- Practice address
- 441 N Lakeview Ave
Anaheim, CA 92807-3028 - Phone
- (714) 279-4450
- NPI assigned
- Jun 22, 2007
- 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 | 28234 | CA | Primary |
Addresses
Primary practice location
441 N Lakeview Ave
Anaheim, CA 92807-3028
Mailing address
21436 Coralita
Lake Forest, CA 92630-8202
Phone (949) 768-9677
Other names 1
- Cathie Henderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Pacifica
Suite 270
Irvine, CA 92618-7338
Phone (949) 333-3833
23601 Moulton Pkwy
Suite 221
Laguna Hills, CA 92653-1979
Phone (949) 528-6287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Therapy Associates | Physical Therapist | Current | Accepting new patients |
Locations
15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (714) 500-8388
101 Pacifica
Ste 270
Irvine, CA 92618
Phone (949) 333-3833
23521 Paseo de Valencia
Ste 110
Laguna Hills, CA 92653
Phone (949) 333-3833
Organizations & group practices 1
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.
-
- Physical Therapist
- Irvine, CA
- NPI 1902102023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891991394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21436 CORALITA",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926308202",
"telephone_number": "949-768-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N LAKEVIEW AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073028",
"telephone_number": "714-279-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHIE",
"last_name": "HENDERSON",
"credential": "P.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Anaheim, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.