Michael D Henkelman, PT, ATC
Individual provider Active NPI Physical Therapist · Winter Park, FL
NPI 1831255322 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831255322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 0009941 (FL)
- Practice address
- 811 S Orlando Ave Ste H
Winter Park, FL 32789-7102 - Phone
- (407) 628-5500
- Fax
- (407) 628-5505
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services and Rehabilitation LP
Tallahassee Orthopedic Clinic III PL
Practice addresses (Care Compare)
635 Century PT
Suite 111
Lake Mary, FL 32746-2139
Phone (407) 792-0031
740 W Plymouth Ave
Florida Orthopaedic Associates
Deland, FL 32720-3282
Phone 81397897007646
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070531000064 | FL | Practitioner - Physical Therapist in Private Practice | 5698873511 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 0009941 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Health Services and Rehabilitation LP | Current |
Accepting new patients | |
| Ability Health Services and Rehabilitation LP | Physical Therapist | Current |
Accepting new patients |
Locations
635 Century Pt
Ste 111
Lake Mary, FL 32746
Phone (407) 792-0031
4501 Vineland Rd
Ste 103
Orlando, FL 32811
Phone (407) 426-7066
100 E 2nd Ave
Ste 210
Rome, GA 30161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 0009941 | FL | Yes |
Addresses
Primary practice location
811 S Orlando Ave Ste H
Winter Park, FL 32789-7102
Mailing address
2628 Alclobe Cir
Ocoee, FL 34761-8967
Phone (407) 578-5252
Other providers in Winter Park, FL
- Christine Diebel Hempsted
- Joy Henderson
- Maranda Lynn Henderson
- Shanda Maria Henderson
- Thomas Edward Henderson
- Miriam E. Henry
- Nathan Henry
- Victoria L Henry
- Matthew Edward Herberg
- Jhoandra N/a Hernandes
All providers in Winter Park, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.