Jacob Henderson, PT, DPT
NPI 1609482553 · Physical Therapist · Bonney Lake, WA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacob Henderson, PT, DPT is a Physical Therapist provider in Bonney Lake, WA (NPI 1609482553).
Provider details
- NPI number
- 1609482553
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT61095770 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,639 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 967 | $32 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 558 | $20 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 413 | $22 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 349 | $9 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 178 | $25 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 151 |
Practice location
Mailing address
Additional practice locations (1)
- 301 S 320th StFederal Way, WA 98003-5200Phone: (877) 751-2446Fax: (866) 559-3952
Registry dates
- Enumerated
- 2020-09-16
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Jacob Henderson's NPI number?
- Jacob Henderson's National Provider Identifier (NPI) is 1609482553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Henderson's specialty?
- Jacob Henderson is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jacob Henderson located?
- Jacob Henderson's practice location on file with NPPES is 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101.
- What is Jacob Henderson's phone number?
- The practice phone number listed in the NPPES registry for Jacob Henderson is (253) 826-8520.
- Does Jacob Henderson accept Medicare?
- Jacob Henderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacob Henderson's NPI active?
- Yes — Jacob Henderson's NPI (1609482553) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.