Jody A Henson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009166L Issued in PA

Practice address

625 Scenery Dr
Elizabeth, PA 15037-2042

Phone

(412) 751-0040

Fax

(412) 751-0041

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic and Sports Physical Therapy Associates Inc OT

  • Occupational Therapist
  • California, PA
  • NPI 1952423774
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1952339129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SCENERY DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372042",
            "telephone_number": "412-751-0040",
            "fax_number": "412-751-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SCENERY DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372042",
            "telephone_number": "412-751-0040",
            "fax_number": "412-751-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JODY",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009166L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "251570641",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015935850004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Todd Gronlund, DPT
• Trissa Rhea Gustovich, CRNP
• Daniel Paul Hasley, D.M.D.
• Healing Hearts Hospice LLC
• Jordan Lynn Heckman, MS, LAPC
• Andrew B Heuer, RPH
• Daniel Wayne Higgins, P.T.
• Ingrid Aaltje-Atje Holman, M.D.
• Rebecca Anne Hrvatin, PT
• James T. Campagna,MD,PC

• Physical Therapist in Elizabeth, PA
• Providers in Elizabeth, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.