Evan Patrick Henderson, DPT is a
Physical Medicine & Rehabilitation based in Indianapolis, Indiana. Evan Patrick Henderson is licensed to practice in Indiana (license number 05014188A) and his current practice location is
3114 E 46th St, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 920-7888.
NPI number for Evan Patrick Henderson is 1891459178 and his current mailing address is 6130 Carvel Ave Apt 3, Indianapolis, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891459178.
Healthcare Provider's Profile
Full Name | Evan Patrick Henderson |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 3114 E 46th St, Indianapolis, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891459178
- Provider Enumeration Date: 10/23/2021
- Last Update Date: 10/23/2021
Medical Identifiers
Medical identifiers for Evan Patrick Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891459178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05014188A (Indiana) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 05014188A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan Patrick Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Evan Patrick Henderson, DPT 6130 Carvel Ave Apt 3, Indianapolis, IN 46220-2089 Ph: (573) 228-0991 | Evan Patrick Henderson, DPT 3114 E 46th St, Indianapolis, IN 46205-2413 Ph: (317) 920-7888 |
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