Kenneth I Henriksson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-009319 Issued in IL

Practice address

3430 Grand Ave
#400
Gurnee, IL 60031-3741

Phone

(847) 782-9860

Fax

(847) 782-9866

NPI assigned

Jul 19, 2006

Last updated

Mar 28, 2017By 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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barrington Orthopedic Specialists LTD

  • Orthopaedic Surgery Physician
  • Schaumburg, IL
  • NPI 1336196476

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1770502817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1980",
            "fax_number": "605-242-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 GRAND AVE",
            "address_2": "#400",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313741",
            "telephone_number": "847-782-9860",
            "fax_number": "847-782-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIKSSON",
        "first_name": "KENNETH",
        "middle_name": "I",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Medical Partners, LLC
• Renee Heelan, PT
• Paula Renee Hefner, M.A. CCC-SLP
• Georgette Hein, PSY D
• Tomasz Krzysztof Helenowski, MD
• Michael Angel Hernandezvazquez
• Donna Lisa Herula, MS, LCPC, LMFT, CADC
• Jeffrey J Hicks, DPM
• Highland Park CVS LLC (CVS Pharmacy #16303)
• Jacob Hince, HIS

• Physical Therapist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.