Active NPI
Lindsay Noelle Henning, PT
- Physical Therapist
- Portage, MI
National Provider Identifier
1396286183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019892
- Practice address
- 1423 W Centre Ave
Portage, MI 49024-5323 - Phone
- (269) 323-4300
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5501019892 | MI | Primary |
Addresses
Primary practice location
1423 W Centre Ave
Portage, MI 49024-5323
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (914) 294-4050
Other practice location 1
1 Campus Dr
Allendale, MI 49401-9401
Phone (586) 719-1678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383329739 | Other | MI | COMMERCIAL CARRIERS |
Other names 1
- Lindsay Noelle Schuller
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Portage | Physical Therapy One, P.C. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy One, P.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Portage, MI
- NPI 1962499855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1396286183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 W CENTRE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490245323",
"telephone_number": "269-323-4300"
}
],
"practiceLocations": [
{
"address_1": "1 Campus Dr",
"address_purpose": "LOCATION",
"city": "Allendale",
"state": "MI",
"postal_code": "494019401",
"country_code": "US",
"telephone_number": "586-719-1678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNING",
"first_name": "LINDSAY",
"middle_name": "NOELLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"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": "MI",
"license": "5501019892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL CARRIERS",
"identifier": "383329739",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Portage",
"affiliation": "Y",
"endpointDescription": "Protected Server",
"affiliationName": "Physical Therapy One, P.C.",
"address_1": "1423 W Centre Ave",
"city": "Portage",
"state": "MI",
"country_code": "US",
"postal_code": "490245323",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "SCHULLER",
"middle_name": "NOELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.