Jacob Henderson, PT, DPT in Bonney Lake, WA - Medicare Physical Therapy Provider

Jacob Henderson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bonney Lake, Washington. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Performance Sports And Spine Physical Therapy Ps and his current practice location is 21525 Hwy 410 E Ste B, Bonney Lake, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 826-8520.

Jacob Henderson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609482553.

Contact Information

	Jacob Henderson, PT, DPT
	21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101
	(253) 826-8520
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Henderson
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	21525 Hwy 410 E Ste B, Bonney Lake, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Henderson graduated from medical school in 2020

NPI Data:

NPI Number: 1609482553
Provider Enumeration Date: 09/16/2020
Last Update Date: 08/22/2024

Medicare PECOS Information:

PECOS PAC ID: 3375962798
Enrollment ID: I20201002002067

Medical Identifiers

Medical identifiers for Jacob Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609482553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Performance Sports And Spine Physical Therapy Ps	9739237595	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Henderson allows following entities to bill medicare on his behalf.

Provider Name	Performance Sports And Spine Physical Therapy Ps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093957292 PECOS PAC ID: 9739237595 Enrollment ID: O20090505000093

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. Jacob Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Henderson, PT, DPT 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 Ph: (253) 826-8520	Jacob Henderson, PT, DPT 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 Ph: (253) 826-8520

Reviews and Comments

Physical Therapist in Bonney Lake, WA

Megan Hofstede, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510
Althea Parry-childerley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10004 204th Ave E Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970
Travis Laird, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970
Susan M Beardemphl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10004 204th Ave E, Ste 3100, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970
Mr. Michael Andrew Egbert, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20910 Sr 410 E, Bonney Lake, WA 98391 Phone: 253-862-2575 Fax: 253-862-2675
Performance Sports And Spine Physical Therapy Ps Physical Therapist Medicare: Medicare Enrolled Practice Location: 21525 Hwy 410 E, Suite B, Bonney Lake, WA 98391 Phone: 253-826-8520 Fax: 253-826-8522
Martha Elizabeth Glenn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19820 Sr 410 E, Suite 201, Bonney Lake, WA 98391 Phone: 253-863-7510 Fax: 253-863-5970

Jacob Henderson, PT, DPT - Medicare Physical Therapist in Bonney Lake, WA