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

Nicholas John Nelson Henderson, PT

Individual provider Physical Therapist · NPI 1740518091

Nicholas John Nelson Henderson, PT is a Physical Therapist in Private Practice in Mission Viejo, California. Qualified in 2009, 17 years ago. Practices with California Rehabilitation and Sports Therapy a California Physical The, a 181-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009
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

26302 La Paz Rd Ste 105
Mission Viejo, CA 92691-5313
Phone: (949) 206-1700
Fax: (949) 206-1800
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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 PT 36249 (CA)

Record details

NPI number1740518091
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 25, 2009
Last updated in NPPESMay 10, 2012

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice California Rehabilitation And Sports Therapy A California Physical The — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mission Viejo