Michael Henry Jr., PT, DPT, PHD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT007592 Issued in GA

Practice address

4153 Flat Shoals Pkwy Building C
Suite 300 a
Decatur, GA 30034-4106

Phone

(404) 793-2025

Fax

(404) 793-2020

NPI assigned

Oct 7, 2014

Last updated

Jan 27, 2020By 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 GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Rehabilitation Concepts, LLC

  • Clinic/Center
  • Ellenwood, GA
  • NPI 1386030658
  Medicare reassignment Authorized official
• Bradfordville Santee Providence Community Home Care, LLC

  dba BSPC Home Care, LLC

  • Nursing Care Agency
  • Grayson, GA
  • NPI 1013548312
  NPD Authorized official

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1427451244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY BUILDING C SUITE 300 A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-793-2025",
            "fax_number": "404-793-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PKWY BUILDING C",
            "address_2": "SUITE 300 A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-793-2025",
            "fax_number": "404-793-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT, DPT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT007592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Elaine Henry, PT
• Brandon V Henry, MD, MPH
• Dorinda G Henry, MTS
• Jean Henderson Henry, R.N.
• Marre Patrice Henry, P.A-C
• Yancey Schoppert Henry, M.S., CCC-SLP
• Janequa Lashay Henson
• Matthew Hentschel
• Devin Hepker, LMSW
• Ayana Nicole Herbert, MD

• Physical Therapy Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.