Individual provider Active NPI

Roger Henderson, PT

  • Physical Therapist
  • Rockledge, FL
National Provider Identifier
1073557070
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19703 Issued in FL
Practice address
1954 Rockledge Blvd Ste 119
Rockledge, FL 32955-3761
Phone
(321) 433-1500
Fax
(321) 433-1556
NPI assigned
Jun 16, 2006
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT19703 FL
Physical Therapist 225100000X PT19703 FL Primary

Addresses

Primary practice location

1954 Rockledge Blvd Ste 119
Rockledge, FL 32955-3761

Mailing address

2210 Cheney Hwy
Suite B
Titusville, FL 32780-6702
Phone (321) 745-7106

Other practice location 1

2700 Healing Way Ste 300
Wesley Chapel, FL 33543-5453
Phone (813) 333-1186

Other practice location 2

1380 S Patrick Dr
Satellite Beach, FL 32937-4375
Phone (321) 773-2659

Other identifiers 1

IdentifierTypeStateIssuer
Y043LOtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000374 FL Practitioner - Physical Therapist in Private Practice 0547326043 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians
Medical Partners of Florida LLCGroup PAC ID 6901236983, 3 clinicians

Practice addresses (Care Compare)

1380 S Patrick Dr
Satellite BCH, FL 32937-4375
Phone (321) 773-2659

3802 Murrell Rd
Rockledge, FL 32955-4741
Phone (321) 877-2090

3910 S Washington Ave
Suite 109
Titusville, FL 32780-5860
Phone (321) 757-6899

8043 Spyglass Hill Rd
Melbourne, FL 32940-8563
Phone (321) 757-6899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
All Brevard County Therapy Staffing Inc. Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients
Functionally Fit Chiropractic, Inc. CurrentSince Oct 6, 2024 Accepting new patients
Alpha Physical Therapy Clinic Inc Physical Therapist CurrentSince Dec 1, 2016 Accepting new patients
Functionally Fit Fitness Center, Inc Physical Medicine & Rehabilitation CurrentSince Sep 15, 2018 Accepting new patients
Medical Partners of Florida LLC CurrentSince Jun 3, 2024 Accepting new patients
Dr Tanya Schrumpf DC Inc CurrentSince Jul 23, 2011 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Jul 10, 2025 Accepting new patients
Alpha Physical Therapy Clinic Inc PastSince Feb 21, 2021 Accepting new patients
Sunrise Medical Group Inc Physical Therapist Past Accepting new patients

Locations

1861 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 610-8880

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

8043 Spyglass Hill Rd
Ste 102
Melbourne, FL 32940
Phone (321) 755-6899

147 Orange Ave
Rockledge, FL 32955
Phone (321) 305-9304

3802 Murrell Rd
Rockledge, FL 32955
Phone (321) 339-9202

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

1380 South Patrick Dr
Satellite Beach, FL 32937
Phone (321) 313-0633

2210 Cheney Hwy
Ste B
Titusville, FL 32780

3206 S Hopkins Ave
Titusville, FL 32780
Phone (321) 267-0188

3910 S Washington Ave
Ste 109
Titusville, FL 32780
Phone (321) 267-0188

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13023/brand/4/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: rogerhenderson@direct.meditouchehr.com
  • Direct secure messaging: rogerhenderson@mab.medentdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1073557070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 CHENEY HWY",
            "address_2": "SUITE B",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806702",
            "telephone_number": "321-745-7106",
            "fax_number": "321-267-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 ROCKLEDGE BLVD STE 119",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553761",
            "telephone_number": "321-433-1500",
            "fax_number": "321-433-1556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Healing Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335435453",
            "country_code": "US",
            "telephone_number": "813-333-1186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Satellite Beach",
            "state": "FL",
            "postal_code": "329374375",
            "country_code": "US",
            "telephone_number": "321-773-2659",
            "fax_number": "321-773-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ROGER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT19703",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y043L",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.