Nichole M Henderson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2005040721 Issued in MO

Practice address

1840 Zumbehl Rd
Saint Charles, MO 63303-2761

Phone

(636) 947-7678

Fax

(636) 947-4350

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Marie M Zoellner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255447025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-7678",
            "fax_number": "636-947-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "636-947-7678",
            "fax_number": "636-947-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "NICHOLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005040721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "ZOELLNER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Alyssa Heiland
• Helping Hand Home Healthcare, LLC
• Amy Henderson, DPC, LMSW
• Courtney Henderson
• Madison Henderson
• Christina Hendrickson, MPT
• Renee L Hennel-Fleshman, PT
• Kaitlyn Henslee, MS, RD, LD
• Erin Hentrich, M.A.
• Laura Heppe, SLP

• Physical Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.