LAURA ANN HENDERSON (NPI# 1801264569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801264569 |
| Entity Type | Individual |
| Full Name | LAURA ANN HENDERSON |
| Credential | DPT |
| Practice Address |
22 Corporate Plaza Dr Suite 113 Newport Beach CA 92660-7985 |
| Mailing Address |
10900 Warner Ave Suite 111 Fountain Valley CA 92708-3846 |
| Practice Telephone | 9497225088 |
| Mailing Telephone | 7149643337 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
43076 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831675453 | Laura Henderson | Case Manager/Care Coordinator | 12 E Exchange St Fl 6, Akron, OH 44308-1541 | 2018-07-17 |
| 1558855171 | Laura Elizabeth Henderson | Nutritionist | 3801 Roland Ave Apt 2f, Baltimore, MD 21211-2004 | 2018-06-18 |
| 1841720117 | Laura Katherine Henderson | Dentist | 113 N Pearl St, Carthage, MS 39051-4123 | 2017-06-19 |
| 1114574795 | Laura Henderson | Nurse Practitioner | 1201 11th Ave S, Birmingham, AL 35205-3423 | 2019-08-20 |
| 1043775505 | Laura Elizabeth Henderson | Physical Therapist | 6051 Alma Rd, Mckinney, TX 75070-2139 | 2019-02-08 |
| 1609307131 | Laura Henderson | Counselor | 2530 W 29th Ave, Denver, CO 80211-3712 | 2017-03-26 |
| 1316319130 | Laura Henderson | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2015-10-21 |
| 1164811584 | Laura Henderson | Behavioral Analyst | 250 Haddonfield Berlin Rd, Suite 105, Gibbsboro, NJ 08026-1228 | 2015-01-22 |
| 1740611714 | Laura Henderson | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4513 | 2013-12-02 |
| 1942597273 | Laura Barber Henderson | Counselor | 9595 Six Pines Dr Ste 8210, The Woodlands, TX 77380-1642 | 2011-07-07 |
| Street Address |
22 CORPORATE PLAZA DR SUITE 113 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417957093 | Ram Mudiyam | Orthopaedic Surgery | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2005-07-26 |
| 1508471921 | Cheryl Amadea Jao | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-09-11 |
| 1053924696 | Camille Lauren Bray | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-08-24 |
| 1134741770 | Vanessa Gillette | Specialist/Technologist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-05-16 |
| 1902432982 | Madison Rosenbaum | Specialist/Technologist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2020-03-21 |
| 1912495318 | James Peter Marchetti | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2018-05-01 |
| 1588192256 | Andrew James Halber | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2017-05-25 |
| 1497293666 | Brett Nishikawa | Physical Therapist | 22 Corporate Plaza Dr, 113, Newport Beach, CA 92660-7985 | 2017-02-07 |
| 1134663453 | Emily Anne Taylor | Physician Assistant | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2016-12-05 |
| 1649662040 | Junghee Lee | Licensed Practical Nurse | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1700273067 | Paul Yoon | Physical Therapist | 1525 Superior Ave Ste 212, Newport Beach, CA 92663-3639 | 2015-04-23 |
| 1407475668 | Newport Functional Management Inc. | Physical Therapist | 2700 W Coast Hwy Ste 234, Newport Beach, CA 92663-4728 | 2020-04-08 |
| 1356738629 | Jme Physical Therapy, PC | Physical Therapist | 20101 Sw Birch St, Suite 140, Newport Beach, CA 92660-1748 | 2015-04-23 |
| 1568899383 | Chase Twedell | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2013-10-11 |
| 1962837187 | Tyson Kazuo Matsumoto | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2013-09-06 |
| 1871878041 | Core Performance Physical Therapy, Inc. | Physical Therapist | 15 Corporate Plaza Dr, Suite 130, Newport Beach, CA 92660-7918 | 2011-10-19 |
| 1265737563 | Michael J Russo | Physical Therapist | 20301 Sw Acacia St Ste 150, Newport Beach, CA 92660-1741 | 2011-01-18 |
| 1497060669 | Megan Elisabeth Parent | Physical Therapist | 22 Corporate Plaza Dr, Newport Beach, CA 92660-7985 | 2010-08-12 |
| 1629238761 | Kristy List | Physical Therapist | 3900 Birch St, Suite 104, Newport Beach, CA 92660-2209 | 2008-06-12 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on LAURA ANN HENDERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.