Kimberly Nicole Sta Ana Henson, PT
NPI 1508559964ActiveIndividual· Physical Therapist· Clovis, NM
Physical Therapist (PT) in Clovis, New Mexico, licensed in NM, with an NPI issued in May 2023. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1508559964 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | May 31, 2023 |
| Last updated in NPPES | Jun 4, 2023 |
| Certified by provider | Jun 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6123 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NM) |
|---|
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