Carol Miller Hendershot, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005080 Issued in WA

Practice address

2118 W Garland Ave
Spokane, WA 99205-2526

Phone

(509) 326-1651

Fax

(509) 326-1658

NPI assigned

Nov 15, 2006

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

Other identifiers 2

Other names 1

• Carol Lynn Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Spokane Guilds' School & Neuromuscular Center

  • Developmental Disabilities Clinic/Center
  • Spokane, WA
  • NPI 1063493393
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578635298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSHOT",
        "first_name": "CAROL",
        "middle_name": "MILLER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010147789",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "8953HE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Helpgrow ABA
• Jozie Marie Helton, SUDPT, CARE COORD.
• Kristina Helton, CPC
• Braden E Hemingway, CRNA
• Zoe Claire Hemminger
• Victoria Hendershot
• Jeni Lea Hendershott
• Henderson Counseling Services PLLC
• Amanda Jo Henderson, LICSW
• Ashley Buxton Henderson, M.D.

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.