DR. SAMUEL ROBERT HENRIKSON DPT
NPI 1649956251
Physical Therapist in Vancouver, WA

Active since June 27, 2023
9430 NE VANCOUVER MALL DR, VANCOUVER, WA 98662(360) 256-9827 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samuel Robert Henrikson Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL ROBERT HENRIKSON DPT (NPI 1649956251) is an individual physical therapist in Vancouver, Washington and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1649956251
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. SAMUEL ROBERT HENRIKSONCredential: DPT
Location Address9430 NE VANCOUVER MALL DRVancouver, WA 98662-6172
Mailing Address9430 Ne Vancouver Mall DrVancouver, WA 98662-6172
Sole ProprietorYes
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1649956251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
9430 NE VANCOUVER MALL DR, Vancouver, WA 98662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Robert Henrikson Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Samuel Henrikson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
9430 NE VANCOUVER MALL DR
Vancouver, WA 98662
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Vancouver Rehabilitation & Therapy Clinic P.S.
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Internal Medicine
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Internal Medicine
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Physical Therapist
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Physician Assistant
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Occupational Therapist
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Massage Therapist
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662
Physical Therapist
9430 NE VANCOUVER MALL DR
VANCOUVER, WA 98662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Henrikson's NPI number?

The NPI number for Samuel Henrikson is 1649956251. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Samuel Henrikson located?

Samuel Henrikson practices at 9430 NE Vancouver Mall Dr, Vancouver, WA 98662. The listed phone number is (360) 256-9827.

What is Samuel Henrikson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Henrikson enrolled in Medicare?

Yes. Samuel Henrikson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Henrikson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Henrikson reassigns Medicare benefits to Vancouver Rehabilitation & Therapy Clinic Ps (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Henrikson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Henrikson was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.