MEDICARE: ERIC J HENRY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 3096	AR

General Provider Information

NPI Number	:	1295035012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC J HENRY PT

Provider Business Mailing Address
First Line	:	15877 SURFBIRD CT
Second Line	:
City	:	MASCOTTE
State	:	FL
Zip	:	34753-9116
Country	:	US
Telephone Number	:	501-470-5320
Fax Number	:

Provider Business Practice Location Address
First Line	:	15877 SURFBIRD CT
Second Line	:
City	:	MASCOTTE
State	:	FL
Zip	:	34753-9116
Country	:	US
Telephone Number	:	501-470-5320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2010
Last Update Date	:	03/22/2021

Similar Medicare Providers

1174825210 — LAZINA JOHANNAH THOMAS BA
Practice Location Address:

315 CAROL ST
MASCOTTE, FL
34753-9253

Practice Phone: 352-429-2551
Practice Fax:

1164783528 — SOUTH LAKE PRIMARY CARE P A
Practice Location Address:

219 W MYERS BLVD , SUITE C
MASCOTTE, FL
34753-9793

Practice Phone: 352-557-4840
Practice Fax: 352-557-4839

1700134715 — MRS. NABUCHI GRACE ANDERSON MHC
Practice Location Address:

15508 WILLET CT
MASCOTTE, FL
34753-9102

Practice Phone: 352-255-6458
Practice Fax: 352-410-6118

1992057723 — LIFE CHANGE OUTREACH ORGANIZATION
Practice Location Address:

15508 WILLET CT
MASCOTTE, FL
34753-9102

Practice Phone: 352-255-6458
Practice Fax:

1982036133 — LIFE CHANGE OUTREACH ORGANIZATION, INC
Practice Location Address:

55 BLUFF LAKE RD , SUITE A
MASCOTTE, FL
34753-9501

Practice Phone: 352-255-6458
Practice Fax: 352-410-6118

1225401912 — LIFE CHANGE OUTREACH ORGANIZATION, INC
Practice Location Address:

15508 WILLET CT
MASCOTTE, FL
34753-9102

Practice Phone: 352-272-2799
Practice Fax: 352-410-6111

Directions to “ ERIC J HENRY PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.