Patrique Henry

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

008069 Issued in NY

Practice address

174 S Orange Ave Apt 4
South Orange, NJ 07079-2270

Phone

(973) 626-5663

Fax

(855) 678-8887

NPI assigned

Nov 9, 2024

Last updated

Nov 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1731110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1982428785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S ORANGE AVE APT 4",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792270",
            "telephone_number": "973-626-5663",
            "fax_number": "855-678-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S ORANGE AVE APT 4",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792270",
            "telephone_number": "973-626-5663",
            "fax_number": "855-678-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PATRIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "008069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Andrew Hardell
• Kenley Harvey, ATC
• Heartbeat Medical Services LLC
• Heartbeat Medical Services LLC
• Thomas E Helbig, MD
• Mal Hill, PHD
• Laura H Hoge, LCSW
• Kevin D Holder, MD
• Michael Holder, DPT
• Hope in Motion ABA

• Occupational Therapy Assistant in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2024; 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.