Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynae Marie Heninger, DPT, CSCS

Individual provider Physical Therapist · NPI 1508164039

Lynae Marie Heninger, DPT, CSCS is a Physical Therapist in Private Practice in Meridian, Idaho. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2011
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

3035 W McMillan Rd Ste 104
Meridian, ID 83646-6291
Phone: (208) 887-8684
Fax: (208) 887-9226
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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 1974 (ID)

Record details

NPI number1508164039
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , CSCS
Sole proprietorNo
NPI enumeratedMarch 8, 2011
Last updated in NPPESAugust 6, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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