Individual provider Active NPI

Haley Elizabeth Henrickson, DPT

  • Physical Therapist
  • Hardeeville, SC
National Provider Identifier
1578236295
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24404 Issued in NC
Practice address
386D Mark Cummings Rd Ste 102
Hardeeville, SC 29927-9706
Phone
(843) 203-2272
NPI assigned
Jul 28, 2021
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12457 MN
Physical Therapist 225100000X 12504 SC
Physical Therapist 225100000X MN
Physical Therapist 225100000X P24404 NC Primary
Physical Therapist 225100000X 2534 ND

Addresses

Primary practice location

386D Mark Cummings Rd Ste 102
Hardeeville, SC 29927-9706

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (252) 726-1802

Other practice location 1

2145 Country Club Rd Ste 200
Jacksonville, NC 28546-2404
Phone (252) 726-1802

Other practice location 2

2000 Plymouth Rd Ste 200
Minnetonka, MN 55305-2338
Phone (952) 545-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241216000997 SC Practitioner - Physical Therapist in Private Practice 0840726782 Reassigns benefits to 4 organizations
I20260423000923 NC Practitioner - Physical Therapist in Private Practice 0840726782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Ivyrehab Focus, Inc.Group PAC ID 5890851406, 39 clinicians

Practice addresses (Care Compare)

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

1738 Celanese Rd
Suite 102
Rock Hill, SC 29732-1731
Phone (803) 670-3067

2145 Country Club Rd
Jacksonville, NC 28546-2404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24404NCMDPhysical Therapist
2534NDMDPhysical Therapist
12504SCMDPhysical Therapist
12457MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 4, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

386D Mark Cummings Rd
Ste 102
Hardeeville, SC 29927
Phone (843) 208-2272

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

Organizations & group practices 9

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": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1578236295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386D MARK CUMMINGS RD STE 102",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299279706",
            "telephone_number": "843-203-2272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Country Club Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285462404",
            "country_code": "US",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Plymouth Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553052338",
            "country_code": "US",
            "telephone_number": "952-545-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICKSON",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12457",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12504",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24404",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.