Kimberly H Henry, P.T.

Physical Therapist in Port St Lucie, FL. Individual provider (NPI-1).

NPI number1144490236

StatusActive

Last updated in NPPESFeb 7, 2020

Details

NPI: 1144490236
Entity type: Individual (NPI-1)
Name: Mrs. Kimberly H Henry
Credential: P.T.
Sex: Female
Sole proprietor: No
Enumeration date: Mar 5, 2008
Certification date: Feb 7, 2020
Last updated: Feb 7, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225100000X	Physical Therapist	PT18871	FL	Yes

Other names

Kimberly M Heisel (Former Name)

Practice location

9077 S Federal Hwy
Port St Lucie, FL 34952-3405

Phone 772-335-4770 · Fax 772-335-4133

Mailing address

9077 S Federal Hwy
Port Saint Lucie, FL 34952-3405

Phone 772-335-4770 · Fax 772-335-4133

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Other Physical Therapist providers in Port St Lucie, FL

All 75 Physical Therapist providers in Port St Lucie · All 3,747 providers in Port St Lucie

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