Individual provider Active NPI

Megan Henderson

  • Occupational Therapist
  • Union, MO
National Provider Identifier
1245615897
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2015025341 Issued in MO
Practice address
21 Silo Dr
Union, MO 63084-4917
Phone
(636) 649-4131
NPI assigned
Jul 24, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2015025341 MO Primary

Addresses

Primary practice location

21 Silo Dr
Union, MO 63084-4917

Mailing address

647 Spirit Airpark West Dr Ste 101
Chesterfield, MO 63005-1032
Phone (636) 223-5700

Other practice location 1

1034 S Brentwood Blvd Ste 300
Richmond Heights, MO 63117-1203
Phone (314) 644-1978

Other names 1

  • Heather Doorack Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320001449 MO Practitioner - Occupational Therapist in Private Practice 6901243435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axes Physical Therapy I, LLCGroup PAC ID 9335481688, 13 clinicians

Practice addresses (Care Compare)

21 Silo Dr
Union, MO 63084-4917
Phone (636) 649-4131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Axes Physical Therapy, LLC CurrentSince Aug 22, 2024 Accepting new patients
Axes Physical Therapy I, LLC CurrentSince Aug 22, 2024 Accepting new patients
Axes Physical Therapy, LLC CurrentSince Aug 22, 2024 Accepting new patients
Axes Physical Therapy I, LLC CurrentSince Aug 22, 2024 Accepting new patients

Locations

647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700

11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

4131 Union Rd
Saint Louis, MO 63129
Phone (314) 274-9222

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

Organizations & group practices 4

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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1245615897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 SPIRIT AIRPARK WEST DR STE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051032",
            "telephone_number": "636-223-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SILO DR",
            "city": "UNION",
            "state": "MO",
            "postal_code": "630844917",
            "telephone_number": "636-649-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 S Brentwood Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171203",
            "country_code": "US",
            "telephone_number": "314-644-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2015025341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DOORACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.