Allison Henderson, MPT
Individual provider Active NPI Physical Therapist · Naples, FL
NPI 1003024142 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1003024142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT36528 (FL)
- Practice address
- 2500 Tamiami TRL N Ste 222
Naples, FL 34103-4470 - Phone
- (239) 649-8001
- Fax
- (239) 649-8003
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BBHF LLC
Ippolito Rehabilitation LLC
Practice addresses (Care Compare)
Naples, FL 34120
Phone (239) 850-8625
3569 Pilot Cir
Naples, FL 34120-0714
Phone (239) 390-3978
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081029000434 | NJ | Practitioner - Physical Therapist in Private Practice | 3870651243 | Reassigns benefits to 1 organization |
| I20241204004017 | FL | Practitioner - Physical Therapist in Private Practice | 3870651243 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ippolito Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| BBHF LLC | Physical Therapist | Current |
Accepting new patients |
| Southwest Florida Mobile Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
| Fox Rehabilitation Services Inc | Physical Therapist | Current |
Accepting new patients |
| Breakthru Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
7 Carnegie Plz
Cherry Hill, NJ 08003
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01190600 | NJ | |
| Physical Therapist | 225100000X | PT36528 | FL | Yes |
Addresses
Primary practice location
2500 Tamiami TRL N Ste 222
Naples, FL 34103-4470
Mailing address
2500 Tamiami TRL N Ste 222
Naples, FL 34103-4470
Phone (239) 649-8001
NPI Registry JSON
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1003024142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 TAMIAMI TRL N STE 222",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034470",
"telephone_number": "239-649-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 TAMIAMI TRL N STE 222",
"city": "NAPLES",
"state": "FL",
"postal_code": "341034470",
"telephone_number": "239-649-8001",
"fax_number": "239-649-8003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ALLISON",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01190600",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.