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

Mr. Michael Henderson, PT

Individual provider Physical Therapist · NPI 1659463354

Mr. Michael Henderson, PT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 2012, 14 years ago. Practices with Beacon Health LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
14
Licensed in
IN
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

1005 N Hickory Rd
South Bend, IN 46615-3723
Phone: (574) 233-5754
Fax: (574) 233-7406
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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 05008295A (IN)

Record details

NPI number1659463354
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address14463 Thelma Ct, Granger, IN 46530-8460

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Beacon Health Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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