JOHN A HENDRICKSON PT
NPI 1700897279
Physical Therapist in Mequon, WI
About John A Hendrickson Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN A HENDRICKSON PT (NPI 1700897279) is an individual physical therapist in Mequon, Wisconsin, licensed in Wisconsin (1987024) and active in the NPI registry since August 2006. He is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John A Hendrickson Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bayside, WI 53217
- Reassigned Medicare billing, Wisconsin enrollment
- 16 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Hendrickson's NPI number?
The NPI number for John Hendrickson is 1700897279. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is John Hendrickson located?
John Hendrickson practices at 10620 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (414) 351-5794.
What is John Hendrickson's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is John Hendrickson enrolled in Medicare?
Yes. John Hendrickson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Hendrickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hendrickson reassigns Medicare benefits to Sport Clinic Physical Therapy Inc (Bayside, WI). 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 John Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hendrickson accept?
Health plans from CareSource (Common Ground Healthcare) list John Hendrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Hendrickson was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.
# John A Hendrickson, PT · NPI 1700897279
Physical Therapist provider in Mequon, Wisconsin. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1700897279 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 1987024 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10620 N PORT WASHINGTON RD, Mequon, WI 53092-5048
- **Phone:** (414) 351-5794 · **Fax:** (414) 351-2770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Sport Clinic Physical Therapy Inc (NPI 1912918475, Bayside, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** October 6, 2026
- **Other identifiers:** Medicaid 40078100 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1700897279) · Data from the CMS NPPES public registry.