Carl Henderson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4300 Issued in TN

Practice address

6005 Park Ave
Suite 802
Memphis, TN 38119-5202

Phone

(901) 763-0037

Fax

(901) 763-0065

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Physioplus LLC

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1396750071
  Medicare reassignment NPD Authorized official
• Redden Total Therapy-South, LLC

  • Physical Therapist
  • Jackson, TN
  • NPI 1013151109
  NPD (past)
• Redden Total Therapy, LLC

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1033286588
  NPD (past)
• C. Greg Henderson DC Inc a Chiropractic Corporation

  • Chiropractor
  • Bonsall, CA
  • NPI 1912116765
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952333080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-763-0037",
            "fax_number": "901-763-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 802",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-763-0037",
            "fax_number": "901-763-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CARL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Helton, MD
• Hemophilia Preferred Care of Memphis Inc (Hemophilia Preferred Care of Memphis)
• Jonie Machelle Henard
• Michelle Henault
• Oana Maria Hendea, M.S., CCC-A
• Carlton Keith Henderson, LCSW
• Dejuna Latrice Henderson
• Ellena Henderson, MD
• Jenae Henderson, FNP-C
• Jennifer H Henderson, O.T.

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.