Individual provider Active NPI

Meghan Elizabeth Henderson, DPT

  • Physical Therapist
  • Basalt, CO
National Provider Identifier
1316631674
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Robinson St Ste 200
Basalt, CO 81621-8472
Phone
(970) 718-7100
NPI assigned
Jun 7, 2023
Last updated
Aug 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

200 Robinson St Ste 200
Basalt, CO 81621-8472

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (202) 347-2373

Other practice location 1

1 DuPont Cir NW Ste 115
Washington, DC 20036-1110
Phone (703) 336-9690

Other practice location 2

1100 H St NW Ste Ll-110
Washington, DC 20005-5476
Phone (202) 347-2373

Other practice location 3

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 569-7638

Other names 1

  • Meghan Elizabeth Heick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231025004068 DC Practitioner - Physical Therapist in Private Practice 3072969179 Reassigns benefits to 1 organization
I20250109000112 CO Practitioner - Physical Therapist in Private Practice 3072969179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vail Clinic IncGroup PAC ID 3577475714, 117 clinicians

Practice addresses (Care Compare)

200 Robinson St
Basalt, CO 81621-8464
Phone (970) 476-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic Inc CurrentSince Oct 14, 2024 Accepting new patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC CurrentSince Jul 20, 2023 Accepting new patients
Built Ready Rehab and Performance CurrentSince Feb 25, 2024 Accepting new patients
Vail Clinic, Inc. CurrentSince Oct 14, 2024 Accepting new patients
Washington Wellness Center for Physical Therapy and Sportscare, LLC Physical Therapist CurrentSince Jul 20, 2023 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients

Locations

200 Robinson St
Ste D300
Basalt, CO 81621
Phone (970) 479-7272

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

181 W Meadow Dr
Vail, CO 81657
Phone (970) 479-5157

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 569-7414

1 DuPont Cir NW
Ste 115
Washington, DC 20036
Phone (703) 336-9690

1100 H St NW
#110
Washington, DC 20005
Phone (202) 347-2373

1100 H St NW
Ste LL110
Washington, DC 20005
Phone (202) 347-2373

25 Massachusetts Ave NW
Ste C500
Washington, DC 20001
Phone (202) 808-9496

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1316631674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "202-347-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROBINSON ST STE 200",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218472",
            "telephone_number": "970-718-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 DuPont Cir NW Ste 115",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200361110",
            "country_code": "US",
            "telephone_number": "703-336-9690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 H St NW Ste Ll-110",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055476",
            "country_code": "US",
            "telephone_number": "202-347-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 W Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575242",
            "country_code": "US",
            "telephone_number": "970-569-7638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Robinson St Ste 200",
            "city": "Basalt",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816218472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "HEICK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Basalt, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.