Austin Henderson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11216 Issued in LA

Practice address

132 S 6TH St
Ponchatoula, LA 70454-3317

Phone

(985) 386-6884

NPI assigned

Feb 4, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponchatoula TherapyGroup PAC ID 9931379534, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ponchatoula Therapy

  • Physical Therapist
  • Ponchatoula, LA
  • NPI 1922398544
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1366907388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S 6TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543317",
            "telephone_number": "985-386-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S 6TH ST",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704543317",
            "telephone_number": "985-386-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "austin.ponchatoulatherapy@gmail.com",
            "affiliation": "N",
            "address_1": "132 S 6th St",
            "city": "Ponchatoula",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704543317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guided Steps Counseling
• Wendy Binder Hallmark, NP
• Lynn E Hansen, SLP
• Kennedy Jade Haugh, RD
• Patricia Lorraine Hawkins
• Richard Albert Henry, DDS
• Scott Hunter Higgs, P.T.
• Home Testing Management
• Hospital Service District #1 of Tangipahoa Parish (North Oaks Medical Center Home Health Agency)
• Lisa Ann Howes, P.T.

• Physical Therapist in Ponchatoula, LA
• Providers in Ponchatoula, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.