Gilbert Henderson, L.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1059640 Issued in TX

Practice address

2 Saint Marks PL
Suite 120
La Grange, TX 78945-1251

Phone

(979) 242-2401

NPI assigned

May 8, 2008

Sex

Male

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultimate Rehab PLLCGroup PAC ID 7012361611, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7997/brand/1/csg/1/fhir/r4

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.

• Ultimate Rehab, PLLC

  • Physical Therapist
  • La Grange, TX
  • NPI 1689390239
  Medicare reassignment Care Compare group NPD
• St. Mark'S Medical Center

  • Rural Acute Care Hospital
  • La Grange, TX
  • NPI 1659362630
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1174790265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL",
            "address_2": "SUITE 120",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451251",
            "telephone_number": "979-242-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SAINT MARKS PL",
            "address_2": "SUITE 120",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451251",
            "telephone_number": "979-242-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "GILBERT",
        "credential": "L.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1059640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Leigh Harrison
• Suzanne Carlton Hart, PH.D.
• Richard Hartin Jr., MD
• Hatfield Dental Clinic PC
• Lawrence J. Hatfield Jr., D.D.S.
• Kinuyo Henderson, DO
• Luke Anthony Henderson, DDS
• Angela Roshawn Henry, NP
• Karen Ann Henson, O.D.
• Daphne L. Hilgers, LPC

• Physical Therapist in La Grange, TX
• Providers in La Grange, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.