Nathan Henke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A2240 Issued in MN

Practice address

2215 Highway 52 N
Rochester, MN 55901-7657

Phone

(507) 429-3624

NPI assigned

Jun 10, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1841859154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PORTAGE CIR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015689",
            "telephone_number": "612-756-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 HIGHWAY 52 N",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017657",
            "telephone_number": "507-429-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2215",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Hendrickson, APP
• Nancy Jean Hengeveld, M.S., L.P.
• Jeanne Lynne Henke, M.S., L.P.
• John Thomas Henke, PA-C
• Kathleen D Henke, CRNA
• Stanislav Henkin, MD
• Rafael Hennemann Sassi, MD
• Beth Alison Hennen, APRN
• Karen Therese Hennessy, RDH
• Dustin Thomas Henning, CRNA

• Physical Therapy Assistant in Rochester, MN
• Providers in Rochester, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.