Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John A Hendrickson, PT

Individual provider Physical Therapist · NPI 1700897279

John A Hendrickson, PT is a Physical Therapist in Private Practice in Bayside, Wisconsin. Qualified in 1978, 48 years ago. Practices with Sport Clinic Physical Therapy Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
48
Licensed in
WI
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

8911 N Port Washington Road Sport Clinic Physical Therapy Inc
Bayside, WI 53217
Phone: (414) 351-5794
Fax: (414) 351-2770
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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 1987024 (WI)

Record details

NPI number1700897279
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address7206 W Freistadt Road, Mequon, WI 53092-1018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1978 (48 years in practice)
Group practice Sport Clinic Physical Therapy Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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