Active NPIIndividual provider

Stacey A Henderson, MSPT

Physical Therapist in Pennsauken, New Jersey

NPI Number1013059864
Practice location
5105 N Park Dr, Pennsauken, NJ 08109-4630
Fax
—
Last updated
May 27, 2011

Stacey Ann Henderson is a Physical Therapist based in Pennsauken, NJ. Stacey Ann Henderson practices in Pennsauken, NJ and has the professional credentials of MSPT. The NPI Number for Stacey Ann Henderson is 1013059864 and holds a License No. PT011562L (PA). The current practice location address for Stacey Ann Henderson is 5105 N Park Dr, Pennsauken, NJ 08109-4630 and can be reached out via phone at 856-665-9111.

Provider Profile Details

NPI Number
1013059864
Provider Name
Stacey Ann Henderson
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
5105 N Park Dr, Pennsauken, NJ 08109-4630
Phone Number
856-665-9111
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2007
Last Update Date
May 27, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
5105 N Park Dr
Pennsauken, NJ 08109-4630
Zip
08109-4630
Phone Number
856-665-9111
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
434 Yale Ave
Cherry Hill, NJ 08002-2269
City
Cherry Hill
State
NJ
Zip
08002-2269
Phone Number
856-663-2840

License Information

License Number
PT011562L
License State
PA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey A Henderson, MSPT?

The NPI number of Stacey A Henderson, MSPT is 1013059864. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Stacey A Henderson, MSPT?

Stacey A Henderson, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT011562L.

Where does Stacey A Henderson, MSPT practice?

The practice location is 5105 N Park Dr, Pennsauken, NJ 08109-4630. The office can be reached at 856-665-9111 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013059864 directly on the NPPES registry website.

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