Individual provider Active NPI

Cheyenne Henry, PT, DPT

  • Physical Therapist
  • Villa Rica, GA
National Provider Identifier
1831846872
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017467 Issued in GA
Practice address
921 Moores Ferry Rd Ste D
Villa Rica, GA 30180-9706
Phone
(678) 840-8881
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048196 NY
Physical Therapist 225100000X PT017467 GA Primary

Addresses

Primary practice location

921 Moores Ferry Rd Ste D
Villa Rica, GA 30180-9706

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2579 Ocean Ave Fl 3
Brooklyn, NY 11229-4552
Phone (646) 780-0926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220318000713 NY Practitioner - Physical Therapist in Private Practice 7416342951 Reassigns benefits to 2 organizations
I20250321000399 GA Practitioner - Physical Therapist in Private Practice 7416342951 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048196NYMDPharmacist
PT017467GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 24, 2023 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Mar 11, 2022 Accepting new patients
Rock Rehab of Massachusetts LLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Feb 3, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Apr 24, 2023 Accepting new patients

Locations

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

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

921 Moores Ferry Rd
Ste D
Villa Rica, GA 30180
Phone (678) 840-8881

111 E 210th St
Bronx, NY 10467

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1831846872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MOORES FERRY RD STE D",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301809706",
            "telephone_number": "678-840-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2579 Ocean Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294552",
            "country_code": "US",
            "telephone_number": "646-780-0926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHEYENNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048196",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.