Melissa Jo Henrikson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.003885 Issued in IL

Practice address

420 Crossing Dr
Sherman, IL 62684-9640

Phone

(217) 496-3636

Fax

(217) 496-3838

NPI assigned

Jul 1, 2014

Last updated

Jul 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sherman Chiropractic LLC

  • Chiropractor
  • Sherman, IL
  • NPI 1194921080
  NPD (past)

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1104231919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626840380",
            "telephone_number": "217-496-3636",
            "fax_number": "217-496-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 CROSSING DR",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849640",
            "telephone_number": "217-496-3636",
            "fax_number": "217-496-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSON",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elzerman, PHARMD
• Hannah Eucker
• Susan Elizabeth Floyd, LPTA
• John P Folkerts, DC
• Alexandra Marie Heaton, COTA
• Amanda Holley
• Lisa Hunt
• Bryan J. Kellenberger, M.D.
• April M Lanier, LMT
• Sandra J Le, PHARMD

• Massage Therapist in Sherman, IL
• Providers in Sherman, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.