Lisa Ann Henderson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1277551 Issued in TX

Practice address

4200 Mapleshade LN Ste 110
Plano, TX 75093-0032

Phone

(972) 735-0920

NPI assigned

Aug 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kwest Physical TherapyGroup PAC ID 1658741582, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kwest Physical Therapy

  • Physical Therapy Clinic/Center
  • McKinney, TX
  • NPI 1548994361

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861
  Medicare reassignment NPD
• Rosipal Institute for Pelvic Therapy Solutions, PLLC

  • Physical Therapy Clinic/Center
  • Plano, TX
  • NPI 1447686449

  Physical Therapist

  Medicare reassignment NPD
• Sullivan Physical Therapy LLC

  • Physical Therapist
  • Austin, TX
  • NPI 1437377199
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1053865675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 MAPLESHADE LN STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930032",
            "telephone_number": "972-735-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 MAPLESHADE LN STE 110",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930032",
            "telephone_number": "972-735-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1277551",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1277551",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1277551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaura D Henderson, BS, ATC, MS, DC
• Emma Henderson
• Eugene B Henderson, MD
• Gary W Henderson, DC
• Kenneth Mango Henderson, D.D.S.
• Michelle Lynn Hendrickson, M.A. CCC-SLP
• Stephanie Christine Hengle, NP-C
• Janna Rose Henkel, RN, PHN
• Hennen Chiropractic Neurology and Wellness
• Jason Hennen, D.C.

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.