Melissa Hennes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9449 Issued in MN

Practice address

5250 W 74TH St Ste 8
Edina, MN 55439-2229

Phone

(612) 562-8656

NPI assigned

Feb 17, 2014

Last updated

Nov 10, 2020By the provider in NPPES

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 names 1

• Melissa Wong Former name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Minnesota Medical School, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Neal Fife Enterprises LLC

  dba Integrated Sports Chiropractic and Rehab

  • Chiropractor
  • Richfield, MN
  • NPI 1184175614
  Medicare reassignment NPD

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1760806483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229",
            "telephone_number": "612-562-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W 74TH ST STE 8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392229",
            "telephone_number": "612-562-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNES",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WONG",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Holly Henderson, P.T.
• Hendrickson Counseling & Consulting, Inc
• Kaysie Hendrickson, DPT
• Susan M Hendrickson, PHD, LP
• Anna Meiling Hennen, PA-C
• Brenda Henry
• Charles Stephen Henry, MD
• Mary L. Hepokoski, RD, LD, CNSD
• Anna Nichole Hergert, CNP
• Taylor Lee Herkert, PA

• Physical Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.