Active NPI
Evan Henke, DPT
- Orthopedic Physical Therapist
- Dickinson, ND
National Provider Identifier
1447174990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 2945
- Practice address
- 1251 1St St S
Dickinson, ND 58601-4663 - Phone
- (303) 917-5496
- Fax
- (701) 390-1366
- NPI assigned
- Aug 6, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 2945 | ND | |
| Orthopedic Physical Therapist | 2251X0800X | 2945 | ND | Primary |
Addresses
Primary practice location
1251 1St St S
Dickinson, ND 58601-4663
Mailing address
5097 99TH Ave SW
Lefor, ND 58641-9211
Phone (303) 917-5496
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genuine Physical Therapy LLC | Sports | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1447174990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5097 99TH AVE SW",
"city": "LEFOR",
"state": "ND",
"postal_code": "586419211",
"telephone_number": "303-917-5496",
"fax_number": "701-390-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 1ST ST S",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014663",
"telephone_number": "303-917-5496",
"fax_number": "701-390-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENKE",
"first_name": "EVAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-06",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "ND",
"license": "2945",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "ND",
"license": "2945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.