Paul Glenn Henderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH603 Issued in AL

Practice address

2506 Danville Rd SW
Suite 200
Decatur, AL 35603-4232

Phone

(256) 350-6331

Fax

(256) 350-1990

NPI assigned

Jul 26, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• DCH Encore Rehabilitation, LLC

  • Physical Therapist
  • Northport, AL
  • NPI 1669942728
  NPD (past) Authorized official
• Encore Performance Rehab, LLC

  • Physical Therapy Clinic/Center
  • Vestavia, AL
  • NPI 1962869057

  Physical Therapist

  NPD (past) Authorized official
• Encore Rehabiliation Inc

  • Physical Therapy Clinic/Center
  • Moulton, AL
  • NPI 1700912052
  NPD (past) Authorized official
• Encore Rehabiliation Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1841325891
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Theodore, AL
  • NPI 1043346380
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1063548345
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1063881464
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Gulf Shores, AL
  • NPI 1073648036
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Somerville, AL
  • NPI 1174997514
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
  • NPI 1316073679
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • McIntosh, AL
  • NPI 1316113087
  NPD (past) Authorized official
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Russellville, AL
  • NPI 1356477624
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1376566570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-350-1764",
            "fax_number": "256-350-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-350-6331",
            "fax_number": "256-350-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PAUL",
        "middle_name": "GLENN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Heidt
• Latasha Heinzen
• Robert Scott Hellard, M.D.
• Angela R Helseth, BCBA
• Lee Walt Henderson, PHARMD
• Hendrick Care Group LLC
• Hendricks Family Practice, PC
• Tiffany Marie Hendricks, M.D.
• Rachel Henley
• Donald Wayne Henry Jr.

• Physical Therapist in Decatur, AL
• Providers in Decatur, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.