Kelli Ann Henricksen, DPT - Medicare Physical Therapist in Olympia, WA

Kelli Ann Henricksen, DPT is a medicare enrolled "Physical Therapist" provider in Olympia, Washington. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Providence Health And Services Washington and her current practice location is 525 Lilly Rd Ne Ste 250, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 486-6777.

Kelli Ann Henricksen is licensed to practice in Washington (license number PT60028377) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790931616.

Contact Information

Kelli Ann Henricksen, DPT
525 Lilly Rd Ne Ste 250,
Olympia, WA 98506-5101
(360) 486-6777
(360) 459-9954

Map and Direction




Healthcare Provider's Profile

Full NameKelli Ann Henricksen
GenderFemale
SpecialityPhysical Therapy
Experience16 Years
Location525 Lilly Rd Ne Ste 250, Olympia, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelli Ann Henricksen graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1790931616
  • Provider Enumeration Date: 08/12/2008
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668548157
  • Enrollment ID: I20080908000086

Medical Identifiers

Medical identifiers for Kelli Ann Henricksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790931616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT60028377 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington6709782600387

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. Kelli Ann Henricksen allows following entities to bill medicare on her behalf.
Provider NameProvidence Health & Services Washington
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028

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. Kelli Ann Henricksen 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 AddressPractice Location Address
Kelli Ann Henricksen, DPT
525 Lilly Rd Ne Ste 250,
Olympia, WA 98506-5101

Ph: (360) 486-6777
Kelli Ann Henricksen, DPT
525 Lilly Rd Ne Ste 250,
Olympia, WA 98506-5101

Ph: (360) 486-6777

Reviews and Comments


Physical Therapist in Olympia, WA

Ms. Claire Catherine Orazem, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 410 Providence Lane Ne, Olympia, WA 98506
Phone: 360-493-4995    Fax: 360-493-4470
Mr. Jonathan P. Jove, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502
Phone: 253-350-1869    Fax: 360-292-7247
Laura Ashley Alyas, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502
Phone: 360-709-6221    
Mrs. Cheryl Bonebrake Howard, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502
Phone: 360-709-0700    Fax: 360-709-0703
Angelica Kim, P.T., D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506
Phone: 360-493-4995    
Victoria Chenoweth, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502
Phone: 360-866-0408    
Rachael C Loebach, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506
Phone: 360-486-0640    Fax: 360-486-0641

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.