Lynae Marie Heninger, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1974 Issued in ID

Practice address

3035 W McMillan Rd
Suite 104
Meridian, ID 83646-6291

Phone

(208) 887-8684

Fax

(208) 887-9226

NPI assigned

Mar 8, 2011

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

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• PT Partners South Dakota, LLC

  • Physical Therapy Clinic/Center
  • Volga, SD
  • NPI 1891478004

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1508164039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 W MCMILLAN RD",
            "address_2": "SUITE 104",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466291",
            "telephone_number": "208-887-8684",
            "fax_number": "208-887-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 W MCMILLAN RD",
            "address_2": "SUITE 104",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466291",
            "telephone_number": "208-887-8684",
            "fax_number": "208-887-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENINGER",
        "first_name": "LYNAE",
        "middle_name": "MARIE",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sue Helsley, LCSW
• Gloria Leticia Henao Ocampo, M.D.
• Heather J Henderson, DPT
• Robert W Hendricks, DDS
• Diana Teresa Hendrickson, LMSW
• Alicia Faye Henrich, PA-C
• Patricia Diane Hensel, PMHNP-BC
• Carey Michael Henson, MSN, FNP-C
• Emma Christine Henson
• Scott A. Henson, MD

• 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 Aug 6, 2014; 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.