Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Carl Hendrickson, DPT

Individual provider Physical Therapist · NPI 1578244612

Dr. Michael Carl Hendrickson, DPT is a Physical Therapist in Private Practice in Sparks, Nevada. Qualified in 2023, 3 years ago. Practices with Aquatic Physical Therapy of Nevada, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4878 Sparks Blvd Ste 102
Sparks, NV 89436-8150
Phone: (775) 507-4084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5171 (NV)

Record details

NPI number1578244612
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address16560 Wedge Pkwy # 200a, Reno, NV 89511-3318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Aquatic Physical Therapy Of Nevada — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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