David Ellis Hensley, CPO, FAAOP

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS00000071 Issued in WA

Practice address

120 14TH Ave SE
Suite D
Puyallup, WA 98372-3718

Phone

(253) 848-2888

Fax

(206) 299-9445

NPI assigned

Oct 5, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1417209040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 218TH ST SW STE 301",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432180",
            "telephone_number": "425-640-2004",
            "fax_number": "206-299-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE",
            "address_2": "SUITE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "253-848-2888",
            "fax_number": "206-299-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "DAVID",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "credential": "CPO, FAAOP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-05",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI00000072",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M Henderson, PA-C
• Brittany Ann Hendrickson, RDN/CD/DIETITIAN
• Rachael R Hendrickson, DPT
• Elizabeth P Henry, PT
• Mary Nicole Henselen, PHARMD
• Leah Jacqueline Herman, MPH, PA-S
• Cynthia Carol Hernan
• Alicia Hernandez, ARNP
• Dorothy Michelle Hernandez
• Keith Mark Herner, RPH

• Prosthetist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Prosthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.