Michael Henderson

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

License

PTA013915 Issued in AZ

Practice address

1951 W Camelback Rd Ste 450
Phoenix, AZ 85015-3474

Phone

(602) 601-2401

NPI assigned

Aug 19, 2024

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lexington Therapies, LLC

  dba Lexington Therapy Services

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1720887599
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1639901374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 N 14TH PL APT 1075",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 W CAMELBACK RD STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153474",
            "telephone_number": "602-601-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "AZ",
            "license": "PTA013915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Henderson
• Knicky S Henderson, RPH
• La Toya Henderson
• Marlena Henderson, LPC
• Mary A. Henderson, LM
• Sarah Elizabeth Henderson, LCSW
• Tarann Henderson, M.D.
• Tracy Ann Henderson, MA, BHT
• Barry A Hendin, MD
• Holly Hendin, M.D., PH.D.

• Pediatric Rehabilitation Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatric Rehabilitation Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.