Individual provider Active NPI

Lexyn J Henderson, DPT

  • Physical Therapist
  • Watford City, ND
National Provider Identifier
1568020220
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2526 Issued in ND
Practice address
709 4TH Ave NE
Watford City, ND 58854-7628
Phone
(701) 842-3000
NPI assigned
May 29, 2019
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2526 ND Primary

Addresses

Primary practice location

709 4TH Ave NE
Watford City, ND 58854-7628

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Other practice location 1

1302 Prospect Ave Ste C
Helena, MT 59601-3928
Phone (406) 502-1900

Other names 1

  • Lexyn Walker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240229000946 ND Practitioner - Physical Therapist in Private Practice 6901130293 Reassigns benefits to 1 organization
I20241021001026 ND Practitioner - Physical Medicine and Rehabilitation 6901130293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Elbowoods Memorial Health CenterGroup PAC ID 1052477494, 23 clinicians

Practice addresses (Care Compare)

1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT2526NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie County Healthcare Systems Inc CurrentSince Dec 26, 2023 Accepting new patients
Elbowoods Memorial Health Center CurrentSince Jul 31, 2024 Accepting new patients

Locations

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

709 4th Ave NE
Watford City, ND 58854
Phone (701) 444-2331

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1568020220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 4TH AVE NE",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547628",
            "telephone_number": "701-842-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 Prospect Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596013928",
            "country_code": "US",
            "telephone_number": "406-502-1900",
            "fax_number": "406-502-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LEXYN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "PT2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEXYN",
            "last_name": "WALKER",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watford City, ND

Sources for this page

Verify at the official NPI Registry.