Eric J Henry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 3096 Issued in AR

Practice address

15877 Surfbird CT
Mascotte, FL 34753-9116

Phone

(501) 470-5320

NPI assigned

Oct 26, 2010

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prosper Therapy

  • Physical Therapist
  • Ocala, FL
  • NPI 1679374144
  Medicare reassignment
• Physical Therapy Institute

  • Physical Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1497077648

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1295035012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15877 SURFBIRD CT",
            "city": "MASCOTTE",
            "state": "FL",
            "postal_code": "347539116",
            "telephone_number": "501-470-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15877 SURFBIRD CT",
            "city": "MASCOTTE",
            "state": "FL",
            "postal_code": "347539116",
            "telephone_number": "501-470-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-26",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Dicristina
• Tammy Fernandez
• Grace's Support Services, LLC
• HCP of Central Florida, Inc.
• Helens West Inc.
• Ketresia Hilton, LMT, CMLDT
• Humble Healings, LLC (Humble Healings)
• Jonesha Lafong, RBT
• Life Change Outreach Organization
• Life Change Outreach Organization, Inc

• Physical Therapist in Mascotte, FL
• Providers in Mascotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.