Heather J Henderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2550 Issued in ID

Practice address

1626 Wells Ave
Suite 105
Meridian, ID 83642-4524

Phone

(208) 789-0200

Fax

(208) 288-2784

NPI assigned

Oct 6, 2009

Last updated

Feb 18, 2015By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I Can PT LLCGroup PAC ID 6507180312, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• I Can PT LLC

  dba I CAN PT Doctors of Physical Therapy

  • Physical Therapist
  • Meridian, ID
  • NPI 1194129817
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1396070538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 WELLS AVE",
            "address_2": "SUITE 105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424524",
            "telephone_number": "208-789-0200",
            "fax_number": "208-288-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 WELLS AVE",
            "address_2": "SUITE 105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424524",
            "telephone_number": "208-789-0200",
            "fax_number": "208-288-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "HEATHER",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396070538",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew D Hella, NP
• Kristin Helmboldt
• Helping Hands Outreach Incorporated
• Amanda Sue Helsley, LCSW
• Gloria Leticia Henao Ocampo, M.D.
• Robert W Hendricks, DDS
• Diana Teresa Hendrickson, LMSW
• Lynae Marie Heninger, DPT, CSCS
• Alicia Faye Henrich, PA-C
• Patricia Diane Hensel, PMHNP-BC

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.