Eric J Henry, PT
Individual provider Active NPI Physical Therapist · Mascotte, FL
NPI 1295035012 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1295035012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 3096 (AR)
- Practice address
- 15877 Surfbird CT
Mascotte, FL 34753-9116 - Phone
- (501) 470-5320
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
35 SE 1St Ave
Ocala, FL 34471-2176
378 NE 57TH St
Ocala, FL 34479-7602
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260602001305 | FL | Practitioner - Physical Therapist in Private Practice | 3476731951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 3096 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Institute | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 3096 | AR | Yes |
Addresses
Primary practice location
15877 Surfbird CT
Mascotte, FL 34753-9116
Mailing address
15877 Surfbird CT
Mascotte, FL 34753-9116
Phone (501) 470-5320
Other providers in Mascotte, FL
- Jacqueline M Dicristina
- Tammy Fernandez
- Grace'S Support Services, LLC
- HCP of Central Florida, Inc.
- Helens West Inc.
- Ketresia Hilton
- Humble Healings, LLC
- Jonesha Lafong
- Life Change Outreach Organization
- Life Change Outreach Organization, Inc
All providers in Mascotte, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.