Individual provider Active NPI

Rachel Lynne Thiel Henderson, DPT

  • Physical Therapist
  • Pineville, NC
National Provider Identifier
1477815405
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17793 Issued in NC
Practice address
103 Dover St
Pineville, NC 28134-8595
Phone
(704) 889-0160
Fax
(704) 889-0159
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12041-24 WI
Physical Therapist 225100000X P17793 NC Primary

Addresses

Primary practice location

103 Dover St
Pineville, NC 28134-8595

Mailing address

103 Friendfield Dr
Fort Mill, SC 29715-9048
Phone (414) 552-0820

Other practice location 1

1726 Eagan Rd
ste 100
Madison, WI 53704-3702
Phone (608) 265-1221

Other names 1

  • Rachel Lynne Thiel Former name

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

State licenses

LicenseStateTypeSpecialty
P17793NCMDPhysical Therapist
12041-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focal Point Chiropractic Health Center PLLC PastSince Sep 15, 2019 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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1477815405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FRIENDFIELD DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159048",
            "telephone_number": "414-552-0820",
            "fax_number": "704-889-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DOVER ST",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281348595",
            "telephone_number": "704-889-0160",
            "fax_number": "704-889-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1726 Eagan Rd",
            "address_2": "ste 100",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537043702",
            "country_code": "US",
            "telephone_number": "608-265-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "RACHEL",
        "middle_name": "LYNNE THIEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12041-24",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "THIEL",
            "middle_name": "LYNNE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pineville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.