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Joel M. Henderson, DPT

NPI 1215430285ActiveIndividual· Physical Therapist· Cannon Afb, NM

Physical Therapist (DPT) in Cannon Afb, New Mexico, licensed in IL, with an NPI issued in March 2018.

Overview

NPI1215430285
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedMar 15, 2018
Last updated in NPPESSep 23, 2025
Certified by providerSep 23, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X070023661IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physical therapists in Cannon Afb

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