| Austin Henderson, | |
|
132 S 6th St, Ponchatoula, LA 70454-3317 | |
| (985) 386-6884 | |
| Not Available |
| Full Name | Austin Henderson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 132 S 6th St, Ponchatoula, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366907388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11216 (Louisiana) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ponchatoula Therapy | 9931379534 | 2 |
| Provider Name | Ponchatoula Therapy |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922398544 PECOS PAC ID: 9931379534 Enrollment ID: O20110908001808 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Henderson, 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 386-6884 | Austin Henderson, 132 S 6th St, Ponchatoula, LA 70454-3317 Ph: (985) 386-6884 |
Rachel Williams, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 |
Mrs. Lisa Ann Howes, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 N 8th St, Ponchatoula, LA 70454 Phone: 985-386-4688 |
Dr. Dustin Drewes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Beauregard St, Ponchatoula, LA 70454 Phone: 504-613-7662 |
Lila Williams, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 |
Lucas Quebedeaux, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 |
Angelica Lirette, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 Fax: 985-386-6854 |
Mallory Kraft, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 132 S 6th St, Ponchatoula, LA 70454 Phone: 985-386-6884 |