Individual provider Active NPI

Patricia L Henthorn, DC

  • Chiropractor
  • Phoenix, AZ
National Provider Identifier
1184758195
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5976 Issued in AZ
Practice address
16620 N 40TH St Ste B2
Phoenix, AZ 85032-3362
Phone
(602) 493-0004
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5976 AZ Primary

Addresses

Primary practice location

16620 N 40TH St Ste B2
Phoenix, AZ 85032-3362

Mailing address

16824 N 53Rd St
Scottsdale, AZ 85254-1148
Phone (480) 861-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817002084 AZ Practitioner - Chiropractic 2961452529 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kai Health and Wellness LLCGroup PAC ID 1658643655, 4 clinicians

Practice addresses (Care Compare)

16620 N 40TH St
Suite 2
Phoenix, AZ 85032-3348
Phone (602) 493-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5976AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kai Health & Wellness, LLC CurrentSince Jul 31, 2017 Accepting new patients
Professional Physician Services LLC CurrentSince Aug 11, 2024 Accepting new patients
HT Professional Services, LLC CurrentSince Aug 11, 2024 Accepting new patients
B2B Wellness Center, LLC PastSince Apr 1, 2020 Accepting new patients
The Chiropractic Company, PLLC Chiropractor PastSince Jan 1, 2007 Accepting new patients
Back on Track Chiropractic Chiropractor Past Accepting new patients

Locations

16620 N 40th St
Ste I2
Phoenix, AZ 85032
Phone (480) 315-8322

16620 N 40th St
Ste 2
Phoenix, AZ 85032
Phone (602) 493-0004

16620 N 40th St
Ste B2
Phoenix, AZ 85032
Phone (602) 493-0004

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1184758195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16824 N 53RD ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541148",
            "telephone_number": "480-861-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE B2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323362",
            "telephone_number": "602-493-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTHORN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.