Michelle L Henricksen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1320670 Issued in TX

Practice address

288 W Bitters Rd
San Antonio, TX 78216-1665

Phone

(210) 297-9900

NPI assigned

Nov 19, 2019

Sex

Female

Sole proprietor

No

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

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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1972149409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 SOUTHERN OAKS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612488",
            "telephone_number": "281-685-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 W BITTERS RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782161665",
            "telephone_number": "210-297-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKSEN",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1320670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Hennis, LPC
• Janice Marie Hennon, NP-C
• Alexander Henri, MD
• Cole Henrich, CCP
• Kimberly Lynette Henrichs, MD
• Brianna Catalina Henriquez
• Henry Ford Academy
• Henry H. Chu, D.D.S., P.a.
• Henry H. Herrera, M.D., P.a.
• Henry Vu Optometrist a Professional Corporation

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.