Individual provider Active NPI

Christine Marie Henkelman, PHYSICAL THERAPIST

  • Physical Therapist
  • Lakeland, FL
National Provider Identifier
1922015114
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15125 Issued in FL
Practice address
5155 US Hwy 98 South
Suite 5C
Lakeland, FL 33812
Phone
(863) 815-2270
Fax
(863) 815-2837
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15125 FL Primary

Addresses

Primary practice location

5155 US Hwy 98 South
Suite 5C
Lakeland, FL 33812

Mailing address

5155 US Hwy 98 South
Suite 5C
Lakeland, FL 33812
Phone (863) 815-2270

Other practice location 1

109 W Highland Dr
Lakeland, FL 33813-1540
Phone (863) 701-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT15125FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services Inc Past Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Aug 3, 2025 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1922015114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 US HWY 98 SOUTH",
            "address_2": "SUITE 5C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "863-815-2270",
            "fax_number": "863-815-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 US HWY 98 SOUTH",
            "address_2": "SUITE 5C",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33812",
            "telephone_number": "863-815-2270",
            "fax_number": "863-815-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338131540",
            "country_code": "US",
            "telephone_number": "863-701-0119",
            "fax_number": "863-701-0305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENKELMAN",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.