Brett E Henderson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

G36137 Issued in CA

Practice address

5500 Grossmont Center Dr
La Mesa, CA 91942-3016

Phone

(619) 588-0098

NPI assigned

Mar 23, 2013

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• One Tree Inc

  • Physical Disabilities Residential Treatment Facility
  • La Mesa, CA
  • NPI 1073852612
  NPD (past) Authorized official
• One Tree Inc

  • Physical Disabilities Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1558706515
  NPD (past) Authorized official

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363996800000",
    "number": "1306188792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12262",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920222262",
            "telephone_number": "619-772-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423016",
            "telephone_number": "619-588-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "BRETT",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-23",
        "last_updated": "2013-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "G36137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert-Clyde Helmer, PSYD, LCSW
• Laci Helmhout, PA-C
• Tonya R. Henderson-Meyer, M.D.
• Abby Henderson, OTR/L
• Audrey Henderson
• Savannah Henderson, LPCC
• Richard James Henegar, MFT
• Judy Ann Hengesbaugh, PT
• Melissa Henning, RN
• Madison Danielle Henry, OTR/L

• Physical Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2013; 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.