Individual provider Active NPI

Thomas Henke

  • Physical Therapist
  • Dickinson, ND
National Provider Identifier
1952361040
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1199 Issued in ND
Practice address
448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone
(701) 483-1000
Fax
(701) 483-1001
NPI assigned
Mar 24, 2006
Last updated
Apr 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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 1199 ND Primary

Addresses

Primary practice location

448 21St St W
Suite D1
Dickinson, ND 58601-2647

Mailing address

448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000549 ND Practitioner - Physical Therapist in Private Practice 0840321808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Solutions LLCGroup PAC ID 0648455949, 19 clinicians

Practice addresses (Care Compare)

448 21St St W
Suite D1
Dickinson, ND 58601-2647
Phone (701) 483-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions LLC Physical Therapist CurrentSince Apr 4, 2011 Accepting new patients
Applied Medical, Inc Physical Therapist Past Accepting new patients

Locations

1679 6th Ave W
Dickinson, ND 58601
Phone (701) 483-1000

448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1952361040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 21ST ST W",
            "address_2": "SUITE D1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012647",
            "telephone_number": "701-483-1000",
            "fax_number": "701-483-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 21ST ST W",
            "address_2": "SUITE D1",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012647",
            "telephone_number": "701-483-1000",
            "fax_number": "701-483-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.