Deseandra Chanice Henderson, DPT
NPI 1861116840ActiveIndividual· Physical Therapist· Shreveport, LA
Physical Therapist (DPT) in Shreveport, Louisiana, trained at Creighton University School of Medicine (class of 2022). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1861116840 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Oct 3, 2022 |
| Last updated in NPPES | May 3, 2023 |
| Certified by provider | May 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP018869T | LA |
| Physical Therapist | 225100000X | PT016263 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA) |
|---|
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Orthowest, LLCCouncil Bluffs, IA · 110 clinicians
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