Ms. Justine Beauchamp Henderson, PT, DPT
Physical Therapist in South Boston, Massachusetts
1407211840- Practice location
- 377 W Broadway, South Boston, MA 02127-2217
- Phone
- 617-752-4643
- Fax
- —
- Last updated
- August 20, 2024
Justine Beauchamp Henderson is a Physical Therapist based in South Boston, MA. Justine Beauchamp Henderson practices in South Boston, MA and has the professional credentials of PT, DPT. The NPI Number for Justine Beauchamp Henderson is 1407211840 and holds a License No. 22059 (MA). The current practice location address for Justine Beauchamp Henderson is 377 W Broadway, South Boston, MA 02127-2217 and can be reached out via phone at 617-752-4643.
Provider Profile Details
- NPI Number
- 1407211840
- Provider Name
- Justine Beauchamp Henderson
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 377 W Broadway, South Boston, MA 02127-2217
- Phone Number
- 617-752-4643
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 30, 2015
- Last Update Date
- August 20, 2024
- Certification Date
- August 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 377 W Broadway
South Boston, MA 02127-2217 - City
- South Boston
- State
- Massachusetts
- Zip
- 02127-2217
- Phone Number
- 617-752-4643
Provider Business Mailing Address Details
- Address
- 377 W Broadway
South Boston, MA 02127-2217 - City
- South Boston
- State
- MA
- Zip
- 02127-2217
- Phone Number
- 617-752-4643
License Information
- License Number
- 22059
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Ms. Justine Beauchamp Henderson, PT, DPT?
The NPI number of Ms. Justine Beauchamp Henderson, PT, DPT is 1407211840. It was assigned on December 30, 2015 and is currently active in the NPPES registry.
What is the specialty of Ms. Justine Beauchamp Henderson, PT, DPT?
Ms. Justine Beauchamp Henderson, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 22059.
Where does Ms. Justine Beauchamp Henderson, PT, DPT practice?
The practice location is 377 W Broadway, South Boston, MA 02127-2217. The office can be reached at 617-752-4643 (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 1407211840 directly on the NPPES registry website.